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Utilization Management Medical Director, Clinical Performance - California license - Remote

Optum

Paradise Valley, AZ
23 hours ago
$238,000 - $357,500

Job Description

Join Optum as a Utilization Management Medical Director to lead efforts in improving healthcare quality and efficiency. This remote position offers the chance to make a significant impact on patient care and outcomes.

Key Responsibilities

  • Work to improve quality and promote evidence-based medicine
  • Provide information on quality and efficiency to doctors, patients, and customers
  • Support initiatives that enhance quality throughout the national network
  • Ensure the right service is provided at the right time for each member
  • Work with medical director teams focusing on inpatient care management and clinical reviews

Required Qualifications

  • MD or DO degree
  • Active, unrestricted California state license
  • Current board certification in ABMS or AOA specialty
  • 5+ years of clinical practice experience post residency
  • Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles

Preferred Qualifications

  • Hands-on utilization and/or quality management experience
  • Project management or active project participation experience
  • Substantial experience in using electronic clinical systems

Benefits & Perks

Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution