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Medical Director - Clinical Review - Remote

Optum

Raleigh, NC
16 days ago
$269,500 - $425,500

This Job Position Has Expired

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, leading clinical review efforts to enhance health outcomes through technology and collaboration. You'll work remotely, engaging with clinicians and internal teams to improve clinical documentation and drive program success while being recognized for your performance.

Key Responsibilities

  • Provide leadership on Clinical Documentation Review
  • Engage in peer-to-peer conversations
  • Drive value in existing workstreams and provide consistent DRG-based clinical reviews
  • Collaborate with medical directors, nurse coders, and operations teams
  • Represent programs in senior executive meetings
  • Lead reviews and improvements of clinical programs

Required Qualifications

  • Active, unrestricted medical license
  • Board certified in adult primary care fields or related subspecialties
  • Experience with DRG clinical documentation and/or coding
  • Experience in chart review (DRG, UM, PA) or prior role as hospital physician advisor

Preferred Qualifications

  • Experience in collaboration with coding teams within a hospital system or payor

Benefits & Perks

Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution