Medical Director Oncology - Remote

Lensa; St. Louis (MO); Remote; USD 238,000 - 358,000; Full time

Job summary

A leading healthcare organization is seeking a Medical Director in Oncology to improve health outcomes through utilization review and clinical management. This role offers remote flexibility and requires a strong background in oncology, with a focus on evidence-based guidelines and team collaboration.

Benefits

Comprehensive benefits

Incentive and recognition programs

401k contributions

Qualifications

• 5+ years of clinical practice experience in Medical Oncology.
• Experience working with NCCN guidelines.

Responsibilities

• Perform utilization review determinations for oncology populations.
• Collaborate with treating providers on care plan changes.

Skills

Oncology

Utilization Management

Clinical Care Delivery

Education

MD or DO

Board Certification in Oncology

Job description

2 days 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. 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.

The Medical Director Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes.

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

Primary Responsibilities

1. Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes
2. Serve as a subject matter expert in evidence-based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence
3. Engage and collaborate with treating providers telephonically; This will include discussion of evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact healthcare expenses
4. Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serve as a thought leader and point of contact for relevant medical societies and stakeholders
5. Evaluate clinical and other data (e.g., quality metrics, claims and health record data, utilization data) to identify opportunities for improvement of clinical care and processes
6. Collaborate with operational and business partners on enterprise-wide research and clinical and quality initiatives to enhance impact in the oncology field

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 opportunities for other roles you may be interested in.

Required Qualifications

• MD or DO with an active, unrestricted medical license
• Obtain additional licenses as needed
• Current Board Certification in an ABMS or AOBMS specialty in Oncology
• 5+ years of clinical practice experience (inclusive of Medical Oncology)
• Experience working with NCCN guidelines
• Demonstrated accomplishments in medical care delivery systems, utilization management, case management, disease management, quality management, product development, and/or peer review
• Participate in rotational holiday and call coverage

Preferred Qualifications

• Experience in managed care and quality management
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $238,000 to $357,500 per year. Salary is defined as total cash compensation at target and varies based on experience and achievement metrics. UnitedHealth Group offers comprehensive benefits, incentive and recognition programs, equity stock purchase, and 401k contributions, among others. Benefits are subject to eligibility requirements.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool is collected. The posting may be removed early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our environmental impact and delivering equitable care that addresses health disparities and improves health outcomes.

UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, veteran status, or any other characteristic protected by law. We are a drug-free workplace; candidates must pass a drug test prior to employment.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x.

Get notified about new Medical Director jobs in St Louis, MO.