Medical Director - Otolaryngology - Remote
Company: UnitedHealth Group
Location: New York
Posted on: November 20, 2023
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together. -
Clinical Advocacy & Support has an unrelenting focus on the
customer journey and ensuring we exceed expectations as we deliver
clinical coverage and medical claims reviews. Our role is to
empower providers and members with the tools and information needed
to improve health outcomes, reduce variation in care, deliver
seamless experience, and manage health care costs.
The Medical Director provides physician support to Enterprise
Clinical Services operations, the organization responsible for the
initial clinical review of service requests for Enterprise Clinical
Services. -The Medical Director collaborates with Enterprise
Clinical Services leadership and staff to establish, implement,
support, and maintain clinical and operational processes related to
benefit coverage determinations, quality improvement and cost
effectiveness of service for members. The Medical Director's
activities primarily focus on the application of clinical knowledge
in various utilization management activities with a focus on
pre-service benefit and coverage determination or medical necessity
(according to the benefit package), and on communication regarding
this process with both network and non-network physicians, as well
as other Enterprise Clinical Services.
The Medical Director collaborates with a multidisciplinary team and
is actively involved in the management of medical benefits. The
collaboration often involves the member's primary care provider or
specialist physician. It is the primary responsibility of the
medical director to ensure that the appropriate and most
cost-effective quality medical care is provided to members.
You'll enjoy the flexibility to work remotely * from anywhere
within the U.S. as you take on some tough challenges. -
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Primary Responsibilities: -
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You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. -
Required Qualifications: -
Preferred Qualifications: -
California, Colorado, Connecticut, Nevada, New Jersey, New York,
Rhode Island, or Washington Residents Only: The salary range for
California, Colorado, Connecticut, Nevada, New Jersey, New York,
Rhode Island, or Washington Residents Only: is $248,582 to $338,965
per year. Salary Range is defined as total cash compensation at
target. The actual range and pay mix of base and bonus is variable
based upon experience and metric achievement. Pay is based on
several factors including but not limited to education, work
experience, certifications, etc. In addition to your salary,
UnitedHealth Group offers benefits such as, a comprehensive
benefits package, incentive and recognition programs, equity stock
purchase and 401k contribution (all benefits are subject to
eligibility requirements). No matter where or when you begin a
career with UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives. -
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy -
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. - - - -
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Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employers and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law. -
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UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment -
Keywords: UnitedHealth Group, New York , Medical Director - Otolaryngology - Remote, Executive , New York, New York
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