Medical Director, Hematology/Oncology | BMT & Cellular Therapy - Remote

Optum; Minneapolis (MN); Remote; USD 249,000 - 373,000; Full time

Job summary

UnitedHealth Group is seeking a Medical Director, Hematology/Oncology with expertise in transplantation and cellular therapies to provide clinical leadership and expert guidance across enterprise clinical services. This is a remote role within the U.S., requiring board certification and MD or DO credentials, with a focus on utilization management, evidence-based decision making, and program development.

The salary reflects full-time employment and comprehensive benefits.

Qualifications

• MD or DO degree required
• Board certification through ABMS or AOA recognized specialty board
• Specialized Hematology/Oncology with BMT/cellular therapy experience
• 5+ years clinical transplantation/cellular therapy experience
• Experience evaluating clinical literature, guidelines, quality metrics, and outcomes
• Data-driven quality improvement experience
• Knowledge of NCQA/URAC/CMS regulations
• Strong collaboration and communication with multidisciplinary teams
• Demonstrated ability to influence stakeholders through clinical expertise
• Experience with UNOS/NMDP/CIBMTR quality and outcomes reporting
• Proficiency in MS Office tools

Responsibilities

• Serve as clinical SME for solid organ transplantation, BMT, stem cell transplantation, CAR-T, and cellular therapies
• Support benefit coverage determinations and medical necessity reviews
• Evaluate transplant/cellular therapy guidelines and COE criteria
• Interpret emerging clinical evidence and regulatory developments
• Collaborate with stakeholders on quality outcomes and COE qualifications
• Provide clinical consultation for new business opportunities and renewals
• Participate in client meetings and program reviews for transplant services
• Build relationships with client medical directors and transplant centers
• Support provider qualification and performance review for COEs
• Analyze clinical/operational data to identify trends and improvements
• Participate in peer-to-peer discussions on complex cases
• Represent the organization at professional meetings (NMDP/UNOS/SRTR/CIBMTR)

Skills

5+ years clinical transplantation

Evidence-based guidelines experience

Data-driven decision making

Regulatory knowledge (NCQA/CMS)

Collaboration skills

Communication skills

Clinical oversight experience

Physician advisor experience

Matrixed organization experience

UNOS/NMDP familiarity

MS Office proficiency

Analytical skills

Cost-quality improvement experience

Education

MD or DO degree

ABMS/AOA board certification

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Medical Director, Hematology/Oncology | BMT & Cellular Therapy - Remote (2392049)

Medical Director, Hematology/Oncology | BMT & Cellular Therapy - Remote - 2392049

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Transplant Resource Solutions is seeking a board-certified Medical Director with expertise in transplantation and cellular therapies. In this individual contributor role, the Medical Director serves as a clinical subject matter expert, providing physician support to Enterprise Clinical Services and collaborating with internal and external stakeholders to support evidence-based clinical decision-making.

This physician applies specialized transplant knowledge to utilization management activities, benefit coverage determinations, quality programs, and Centers of Excellence evaluations. The Medical Director partners with clinical and operational teams to assess complex transplant-related issues, interpret evolving clinical evidence, and support consistent, high-quality coverage decisions for members. The role requires extensive collaboration with network and non-network physicians, provider organizations, and client stakeholders while serving as a trusted clinical resource across transplant and cellular therapy programs.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Serve as a clinical subject matter expert for solid organ transplantation, blood and marrow transplantation (BMT), stem cell transplantation, CAR-T therapies, and emerging cellular therapies
• Apply clinical expertise to support benefit coverage determinations, medical necessity reviews, and utilization management activities
• Participate in the evaluation and enhancement of transplant and cellular therapy clinical guidelines and Centers of Excellence (COE) criteria
• Review and interpret emerging clinical evidence, industry trends, and regulatory developments related to transplantation, cellular therapies, gene therapies, and hematologic malignancies
• Collaborate with internal and external stakeholders to assess quality outcomes, accreditation standards, clinical performance measures, and COE qualifications
• Provide clinical consultation and expertise in support of new business opportunities, client renewals, and program development activities
• Participate in client-facing discussions, clinical consultations, and program reviews related to transplant and cellular therapy services
• Build collaborative relationships with client medical directors, physician leaders, provider organizations, and transplant centers
• Support provider qualification, designation, and performance review activities for transplant and cellular therapy Centers of Excellence
• Analyze clinical and operational data to identify trends, opportunities, and areas for improvement in quality, utilization, and member outcomes
• Support peer-to-peer discussions and clinical consultations regarding transplant-related coverage determinations and complex clinical cases
• Represent the organization at professional meetings, conferences, and industry organizations, including NMDP, UNOS, SRTR, and CIBMTR

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:

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree
• Board certification through an ABMS or AOA recognized specialty board
• Specialized expertise in Hematology/Oncology with experience in Blood and Marrow Transplantation (BMT), stem cell transplantation, CAR-T therapy, immune effector cell therapies, or related cellular therapy programs
• 5+ years of clinical experience in transplantation and/or cellular therapy, including transplant patient care, transplant program operations, blood and marrow transplantation (BMT), stem cell transplantation, CAR-T therapy, transplant-related medical management, or utilization management
• Experience evaluating clinical literature, evidence-based guidelines, quality metrics, and healthcare outcomes
• Experience utilizing clinical and operational data to support quality improvement and performance optimization initiatives
• Knowledge of NCQA, URAC, CMS, and applicable state and federal regulatory requirements
• Demonstrated ability to collaborate effectively with multidisciplinary teams and influence stakeholders through clinical expertise and consultation
• Proven solid written and verbal communication skills with the ability to explain complex clinical concepts to diverse stakeholders

Preferred Qualifications:

• Experience supporting clinical oversight, quality management, utilization management, case review, or program development activities within transplant or cellular therapy programs
• Experience serving as a physician advisor, consultant, or clinical subject matter expert for Blood and Marrow Transplantation (BMT), cellular therapy, immune effector cell therapy, or transplant Centers of Excellence programs
• Experience working within large, matrixed healthcare organizations
• Experience integrating clinical and financial information to support quality, utilization, and cost-effectiveness initiatives
• Familiarity with quality and outcomes reporting through organizations such as UNOS, SRTR, CIBMTR, FACT, or NMDP
• Advanced proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint
• Proven solid analytical, organizational, and project coordination skills
• Demonstrated success supporting improvements in healthcare quality, operational performance, and patient outcomes

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $248,500 - $373,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job

Clinical Analysis & Consulting

Primary Location

US-MN-Minneapolis

Other Locations

US-IL-Chicago, US-IN-Indianapolis, US-GA-Atlanta, US-NY-New York, US-MD-Baltimore, US-NC-Raleigh, US-TX-Dallas, US-PA-Philadelphia, US-TX-Houston, US-FL-Tampa, US-TX-Austin

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.