Remote Medical Director - Vascular Care & Coverage

NBSTSA; Boston (MA); Remote; USD 249,000 - 373,000; Full time

Job summary

UnitedHealth Group’s Optum division is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service benefit determinations and medical policy discussions with providers. Remote work available within the United States.

You will conduct coverage reviews, document findings, participate in daily clinical rounds, and collaborate with network and non-network physicians to ensure cost-effective, high-quality care.

Qualifications

• MD or DO required.
• Board certification in General Surgery (ABMS or AOA) with vascular surgery experience.
• Active unrestricted medical license.
• 5+ years of clinical practice after residency.
• Strong understanding of Evidence Based Medicine (EBM).
• Experience performing vascular surgeries and procedures.
• Proficient PC skills: MS Word, Outlook, Excel.
• Willingness to participate in call coverage rotation.

Responsibilities

• Conduct coverage reviews based on member benefits and policies.
• Document clinical review findings and outcomes.
• Engage in peer-to-peer discussions with providers as needed.
• Interpret benefit language and policies during reviews.
• Participate in daily clinical rounds as requested.
• Collaborate with network and non-network providers for accurate determinations.

Skills

Clinical experience

Vascular surgery

Professional licensure

MS Word/Outlook/Excel

Call coverage

Education

MD or DO

ABMS/AOA General Surgery board

Tools

MS Word

Outlook

Excel

Job description

UnitedHealth Group’s Optum division is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service benefit determinations and medical policy discussions with providers. Remote work available within the United States.

You will conduct coverage reviews, document findings, participate in daily clinical rounds, and collaborate with network and non-network physicians to ensure cost-effective, high-quality care.