This job listing is no longer available for applications. The position may have been filled or the posting period has ended.
Job Description
Join Optum as a Medical Director specializing in Otolaryngology, where you'll leverage your clinical expertise to improve health outcomes. Collaborate with a multidisciplinary team to ensure effective benefit coverage and quality care delivery, all while enjoying the flexibility of remote work.
Key Responsibilities
Conduct coverage reviews based on individual member plan benefits
Document clinical review findings in accordance with policies
Engage with requesting providers in peer-to-peer discussions
Participate in daily clinical rounds as requested
Communicate with network and non-network providers for benefit determinations
Call coverage rotation
Required Qualifications
M.D or D.O.
Board certification in Otolaryngology (ENT)
Active unrestricted license to practice medicine
5+ years of clinical practice experience after completing residency training
Sound understanding of Evidence Based Medicine (EBM)
Solid PC skills, specifically using MS Word, Outlook, and Excel
Proven ability to participate in call coverage rotation
Preferred Qualifications
Experience in utilization and clinical coverage review
Proven excellent oral, written, and interpersonal communication skills
Proven data analysis and interpretation aptitude
Proven innovative problem-solving skills
Proven excellent skills for both clinical and non-clinical audiences
Reside in either MST or PST zone or willing to work those hours
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution