Remote Director of Training & Quality—Utilization Mgmt

UnitedHealth Group; Charlotte (NC); Remote; USD 135,000 - 231,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Incentive and recognition programs

Job summary

UnitedHealth Group seeks a senior leader to oversee a training and quality organization supporting utilization management across a large, dispersed healthcare environment. You will manage a team of about 12 professionals across onshore and global locations, guiding onboarding, education, quality assurance, and process improvement.

You will shape programs aligning medical necessity guidelines with denial management and physician advisor activities, while partnering with cross-functional teams to

Qualifications

• 5+ years leading clinical and non-clinical teams in healthcare.
• 3+ years leading training program development and QA operations.
• 3+ years in utilization management or utilization review environments.
• Experience with InterQual or MCG criteria and denial workflows.
• 2+ years managing globally distributed or multi-site teams.
• Active MD, DO, or RN licensure.

Responsibilities

• Lead a multidisciplinary team across onshore and global locations.
• Direct end-to-end design and delivery of training programs.
• Establish QA processes, metrics, and audit dashboards.
• Align training with medical necessity guidelines and denials management.
• Partner with physicians, nurses, and operations to close knowledge gaps.
• Oversee learning platforms and dashboards (EQT, Thought Industries).
• Maintain global standards to ensure client satisfaction for 500+ clients.

Skills

People leadership

Training program development

Utilization management

InterQual/MCG knowledge

Global multi-site leadership

Active clinical licensure

Education

MD/DO/RN licensure

Tools

EQT

Thought Industries

Job description

UnitedHealth Group seeks a senior leader to oversee a training and quality organization supporting utilization management across a large, dispersed healthcare environment. You will manage a team of about 12 professionals across onshore and global locations, guiding onboarding, education, quality assurance, and process improvement.

You will shape programs aligning medical necessity guidelines with denial management and physician advisor activities, while partnering with cross-functional teams to