Medical Director – Remote

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.

 

This key clinical leadership position will lead and share responsibility for the development and delivery of current, consistent, accurate, evidence-based clinical content for the InterQual Care Planning content suite focused on content designed to define screening criteria for clinical appropriateness used in medical necessity reviews and support other InterQual content modules as required.  Responsible for assuring accuracy, consistency, and evidence basis for the content.  Works directly with clinical content development (CCD) staff and the Clinical Lead (CL) to create, review, comment, advise on content and sign off on clinical content releases.  Collaborates with other Medical Directors, Senior Medical Directors, the Vice-President, Assistant Vice-President (AVP), Director of Content Products, Product Management, and Clinical Strategy to deliver market leading criteria products.  Supports Sales and Account Management, regulatory affairs, internal and external education, training and related activities as required.

 

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

 

Primary Responsibilities:

• Work with CCDs to develop and assure clinical content accuracy, currency with the literature-based evidence and relevance to InterQual content. Provide guidance to CCDs based on critical appraisal of medical literature and practice experience regarding clinical content
• Creates and/or updates content
• Participates in development meetings
• Reviews content drafts
• Performs content QA using tools & techniques assuring clinical accuracy
• Signs off on content as final and clinically accurate
• Collaborate with product management, product development, clinical strategy, and clinical development teams to develop and re-structure clinical content for different users, applications and contexts
• Work with fellow Medical Directors and other clinical managers to assure clinical content and decision support consistency within and across all InterQual products
• Serve as a clinical resource for both internal and external customers.  Accompany the Sales and/or Regulatory/Public Affairs teams on calls, onsite visits and provide support and consultation as needed
• Applies knowledge gained through professional development and communicates it to internal and/or external parties
• Interfaces with clients to provide clinical leadership and support as well as gain an understanding of client needs in collaboration with the Product Owner, Client Experience Team, and Product Management
• Help address and resolve clinical questions/issues identified by clients.  Apply knowledge gained through direct patient care experience and professional development activities and communicates it to internal and/or external parties

 

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:

• Current, active, and fully non-restricted Medical License in the U.S.
• Medical Board Certification
• 5+ years of experience in direct patient care delivery in the U.S.
• Demonstrated experience with evidence-based medicine process
• Proven track record of leadership, decision making, and working in a collaborative, team-focused approach
• Willing/able to travel approximately 15% of the time when and if business needs dictate 

 

Preferred Qualifications:

• Experience with teaching, writing, communicating, and leadership to forge relationships with clinical teams, stakeholders, senior management, and external customers 
• Managed care/payer industry knowledge and experience
• Proven knowledge of InterQual criteria

 

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

 

Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down 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 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.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

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