Remote Medical Director, Vascular Surgery

RXinsider LTD.; Phoenix (AZ); Remote; USD 249,000 - 373,000; Full time

Benefits offered by this job

Remote work within US

Job summary

UnitedHealth Group is seeking a Medical Director to provide physician support to Enterprise Clinical Services, influencing clinical coverage determinations and medical necessity reviews for members. The role collaborates with a multidisciplinary team to ensure cost-effective, high-quality care.

The position offers remote work flexibility within the United States and opportunities to engage in policy development, quality improvement, and provider communications.

Qualifications

• MD or DO with board certification in General Surgery and vascular focus.
• Active unrestricted medical license to practice.
• 5+ years of clinical practice after residency.
• Solid understanding of Evidence Based Medicine (EBM).
• Experience performing vascular surgeries and procedures.

Responsibilities

• Conduct coverage reviews based on member plan benefits and review policies, render determinations.
• Document clinical findings and outcomes in accordance with policies and regulations.
• Engage with requesting providers in peer-to-peer discussions.
• Interpret benefit language and policies during clinical coverage reviews.
• Participate in daily clinical rounds and collaborate with network and non-network providers.

Skills

MD/DO

Vascular focus

Unrestricted license

Clinical experience

EBM

Vascular surgery experience

MS Word/Outlook/Excel

Call coverage

Education

Medical Degree (MD/DO)

Tools

MS Word

Outlook

Excel

Job description

UnitedHealth Group is seeking a Medical Director to provide physician support to Enterprise Clinical Services, influencing clinical coverage determinations and medical necessity reviews for members. The role collaborates with a multidisciplinary team to ensure cost-effective, high-quality care.

The position offers remote work flexibility within the United States and opportunities to engage in policy development, quality improvement, and provider communications.