Medical Director - Pain Management Specialist - Remote
Optum
MINNEAPOLIS-ST. PAUL-BLOOMINGTON, MN
21 hours ago
$238,000 - $357,500
Job Description
Join Optum as a Medical Director specializing in Pain Management to enhance health outcomes through effective medical review services and utilization management. Enjoy the flexibility of remote work while making a significant impact in healthcare.
Key Responsibilities
Conduct coverage reviews based on member plan benefits and coverage policies
Document clinical review findings and support compliance with regulatory standards
Coordinate UM processes with clinical staff and provide feedback
Participate in training regarding compliance and confidentiality
Discuss clinical cases with treating providers
Participate in clinical conferences and performance reviews
Interpret benefit language during clinical coverage reviews
Provide clinical support for initial reviews
Understand professional performance measurement
Required Qualifications
Current, active, and fully unrestricted medical license
Current Board Certification in pain subspecialty (PM&R or Anesthesia)
5+ years clinical experience post residency in Pain subspecialty
Proficient with MS Office (Word, Email, Excel, PowerPoint)
Excellent computer skills and ability to learn new systems
Excellent interpersonal skills for communication with colleagues
Willingness to participate in rotational call coverage
Ability to obtain additional medical licenses as needed
Preferred Qualifications
License in North Carolina or New Mexico
Experience in managed care UM activities
Leadership skills in working with other physicians
Knowledge of the overall medical community and managed care environments
Experience with integration of clinical and financial data
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution