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 Director, Medical Director, where you will leverage your clinical knowledge to improve health outcomes and empower members with effective care management. Collaborate with a multidisciplinary team while enjoying the flexibility of remote work.
Key Responsibilities
Conduct coverage reviews based on individual member plan benefits
Document clinical review findings, actions, and outcomes
Interpret existing benefit language and policies in clinical coverage reviews
Communicate and collaborate with network and non-network providers
Ensure appropriate and cost-effective medical care is provided to members
Required Qualifications
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
Proven data analysis and interpretation aptitude
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution