UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Medical Director Post Acute Care Management - Remote

Location

United States

Posted

59 days ago

Salary

$248K - $373K / year

Seniority

Lead

No structured requirement data.

Job Description

Medical Director Post Acute Care Management - Remote

UnitedHealth Group

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Director will partner with cross-functional teams and senior leaders to ensure that Optum leads the industry in innovative health management strategies and is considered an expert in the field of post-acute care. The role as a physician leader, has a proven track record of innovation, achievement of measurable goals, and exceptional clinical competencies. They take a proactive approach to the marketplace and are responsible for continuously reshaping Optum’s corporate wide strategies. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Provide daily utilization oversight and external communication with network physicians and hospitals - Daily UM reviews - authorization and denial reviews - Conduct peer to peer conversations for clinical case reviews as needed - Conduct provider telephonic review and discussion, share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care - Communicate effectively with providers to ensure the successful administering of Optum’s services - Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers - Collaborate with Team to ensure a coordinated approach toward our member’s health care - The development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals - Provide leadership and guidance to maximize cost management through close coordination with network and provider contracting - Regularly meet with Optum’s leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues - Provide input on local needs for Analytics Team and Care Management Team to better enhance Optum’s products and services - Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME - Perform other duties and responsibilities as required, assigned, or requested 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: - Graduate of a recognized accredited medical school - Current, unrestricted medical license and residency in the United States - Board certified in a recognized ABMS specialty - Board Certified in Internal Medicine - 3+ years of experience practicing in an acute inpatient environment, where dealing with managed care organizations made up at least half of inpatient practice - Proven working knowledge of changing U.S. payer and provider landscape - Proven understanding of population-based medicine with preference given to significant experience with the Medicare, Medicaid, and Commercial populations - Proficient computer skills - Dedicated office/work area established that is separated from other living areas and provides privacy - Reside in a location that can receive a high-speed internet connection Preferred Qualifications: - Demonstrated ability to work with others while completing multiple tasks simultaneously and successfully - Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision - Demonstrated ability to be highly motivated, flexible, and adaptable to working in a fast-paced, dynamic environment - Demonstrated ability to positively interact with other clinicians, senior management, and all levels of medical and non-medical professionals - Demonstrated ability to quickly adapt to change and drive innovation within team and market - Demonstrated ability to work across functions and businesses to achieve business goals - Demonstrated ability to develop and maintain positive customer and provider relationships - Proven solid interpersonal skills and necessary business acumen to communicate and build positive relationships with management - Proven high level of organizational skills, self- motivation, and ability to manage time independently - Proven excellent organizational, verbal, and written communication and presentation skills - Proven excellent analytic skills *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Compensation for this specialty generally ranges from $248,500.00 to $373,000.00. 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. 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. 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.

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Senior Medical Science Liaison - Hematology/LSD (Central South)

Takeda

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

Medical Director59 days ago
Full TimeRemoteTeam 10,001

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the Role The Senior Medical Science Liaison is a field-based, external customer-facing member of the US therapeutic area medical unit team, responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda in order to advance medical strategy and improve patient outcomes. The territory includes Arizona, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, Tennessee, and Mississippi (must reside in territory). 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Medical Director of Clinical Informatics

CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Medical Director59 days ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. We’re building a more connected, convenient, and compassionate health experience. The Medical Director of Informatics is a clinical leader who supports clinical analytics and clinical informatics needs within PBM product and CVS Healthspire Payor Solutions across multiple care management and digital health products. The organization designs, delivers, and operates a configurable collection of products and tools that complement the benefit plans of our employer and health plan customers. Our care delivery and care management solutions target population health outcomes that require risk mitigation, intervention, and ongoing chronic care management. We use technology-enabled population identification based on multisource data integration – medical claims, pharmacy claims, lab data and patient inputs– for applying evidence-based opportunities and an omnichannel, next best action approach. This role partners with Product, Technology, Data/Analytics, and Clinical Governance stakeholders to ensure that clinical guidance and analytic insights are evidence-based, scalable, and operationalized through clear clinical requirements, robust measurement, and disciplined content/logic governance. This is not a utilization management or direct patient care delivery role; it is a product- and data-facing physician leadership role focused on clinical informatics, analytics oversight, and clinical governance. 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$174K - $374K / year
Full TimeRemoteTeam 501-1,000

Scheduled Hours 40 Position Summary Works either remotely or in an area with no patient contact and performs advanced secretarial duties, such as typing medical dictation requiring substantial use of medical terminology and maintains physician’s schedules. 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Work Experience: Medical Office Setting (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: Associate degree Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Communication, Decision Making, Medical Terminology, Microsoft Office, Software Packages, Working Independently Grade G07-H Salary Range $19.29 - $29.91 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. 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It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

United States
$19 - $30 / hour