Medical Director - Clinical Advocacy and Support ENT or Internal Medicine preferred - Remote
Optum
Honolulu, HI
15 days ago
$238,000 - $357,500
Job Description
Join Optum as a Medical Director focusing on Clinical Advocacy and Support, where you'll enhance healthcare outcomes by collaborating with clinical teams and providers. Enjoy the flexibility of remote work while making a significant impact on patient care and health equity.
Key Responsibilities
Conduct coverage reviews based on individual member plan benefits
Document clinical review findings, actions, and outcomes
Communicate and collaborate with network and non-network providers
Educate providers on benefit plans and medical policy
Participate in call coverage rotation
Required Qualifications
Active unrestricted license to practice medicine
Board certification in an ABMS specialty
3+ years of clinical practice experience after completing residency training
Demonstrated sound understanding of Evidence Based Medicine (EBM)
Proven solid PC skills, specifically using MS Word, Outlook, and Excel
Preferred Qualifications
Internal Medicine, ENT, Hematology - Oncology, General Surgery, Rheumatology, or PM&R specialty
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution