Utilization Management Medical Director - Remote (MO license required)

UnitedHealth Group; Missouri; Remote; USD 238,000 - 358,000; Full time

Job summary

UnitedHealth Group, through Optum, seeks an Inpatient Care Management Medical Director in Missouri to lead acute care reviews and drive utilization management for a national scope. The role collaborates with nurses and staff to optimize inpatient care across sites and markets.

The position offers remote work within Missouri, requires an MD/DO with active licensure, and Board Certification. Expect competitive base pay with bonus opportunities and comprehensive benefits.

Qualifications

• MD or DO with an active, unrestricted medical license
• Current Board Certification in an ABMS or AOA specialty
• 3+ years of clinical practice experience post residency
• Technical proficiency in computer software and systems
• Must reside in the state of Missouri

Responsibilities

• Participate in telephonic outreach with treating providers to discuss guidelines and care plan changes
• Collaborate with operational and business partners on clinical and quality initiatives
• Apply evidence-based medicine and InterQual guidelines in reviews
• Occasionally participate in market oversight meetings with medical leadership
• Maintain proficiency in required software and platforms

Skills

Clinical practice

Communication

Technology literacy

Education

MD/DO degree

Tools

EHR systems

Job description

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.

We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level.

You’ll enjoy the flexibility to work remotely * from within the State of Missouri as you take on some tough challenges.

Primary Responsibilities:

• Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence – based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
• Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
• Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review
• Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
• Maintain proficiency in all required software and platforms

Although the Optum ICM Medical Director’s work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management.

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:

• MD or DO with an active, unrestricted medical license [Missouri state medical licensure required]
• Current Board Certification in an ABMS or AOA specialty
• 3+ years of clinical practice experience post residency
• Technical proficiency in computer software and systems
• *MUST reside in the state of Missouri

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

Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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