Inpatient Care Management Medical Director - Remote

Lensa; Anchorage (AK); Remote; USD 286,000 - 398,000; Full time

Job summary

A leading healthcare organization is seeking an Inpatient Care Management Medical Director to oversee acute care utilization and collaborate with healthcare providers. This remote role requires an MD or DO with board certification and at least 3 years of clinical experience. The position offers a competitive salary range and comprehensive benefits, emphasizing a commitment to health equity and career development.

Benefits

Comprehensive benefits packages

Incentives and stock options

401k contributions

Qualifications

• Minimum 3 years of clinical practice post-residency.
• Active, unrestricted medical license required.
• Board Certification in an ABMS or AOBMS specialty.

Responsibilities

• Participate in telephonic outreach to collaborate with providers.
• Apply evidence-based medicine and participate in quality initiatives.
• Maintain proficiency in required software and platforms.

Skills

Clinical practice

Telephonic outreach

Evidence-based medicine

Collaboration

Education

MD or DO with active medical license

Current Board Certification

Tools

Relevant software and systems

Job description

Inpatient Care Management Medical Director - Remote

1 day ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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. Join us to start Caring. Connecting. Growing together.

We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team conducts acute level of care and length of stay reviews for medical necessity for members managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. Medical Directors collaborate with nurses and support staff to manage inpatient care utilization at various levels — hospital, market, regional, or national.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you tackle challenging issues.

Primary Responsibilities

1. Participate in telephonic outreach to collaborate with treating providers, discussing evidence-based guidelines, closing clinical gaps, and care plan modifications impacting healthcare expenses.
2. Collaborate with operational and business partners on clinical and quality initiatives to meet customer expectations.
3. Apply evidence-based medicine (EBM), such as InterQual care guidelines and criteria review.
4. Participate in periodic market oversight meetings with Chief Medical Officers, network contractors, nurse management, and other internal managers.
5. Maintain proficiency in all required software and platforms.

Though the work is typically regional, Medical Directors are part of a national team, collaborating across the country. They may also be involved in change management and program modifications based on customer needs.

Performance is recognized and rewarded in an environment that provides clear success criteria and career development opportunities.

Required Qualifications

• MD or DO with an active, unrestricted medical license
• Current Board Certification in an ABMS or AOBMS specialty
• At least 3 years of clinical practice post-residency
• Home office setup with high-speed internet
• Proficiency in relevant software and systems

Preferred Qualifications

• Licensure in HI, AK, OR, ID, WA, or UT is a plus
• Over 2 years of managed care, Quality Management, or administrative leadership experience
• Prior utilization management experience
• Clinical experience within the past 2 years

Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

Salary Range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, D.C.: $286,104 to $397,743 annually, based on experience and achievement metrics. Benefits include comprehensive packages, incentives, stock options, and 401k contributions.

Application Deadline: Posted for at least 2 business days or until enough candidates are collected. The posting may end early due to volume.

UnitedHealth Group’s mission is to improve health equity and eliminate disparities. We are an Equal Opportunity Employer and a drug-free workplace, requiring candidates to pass a drug test.

Additional Details

• Seniority level: Director
• Employment type: Full-time
• Job function: Healthcare Provider