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 Oncology
Location
United States
Posted
44 days ago
Salary
$238K - $357.5K / year
Seniority
Lead
No structured requirement data.
Job Description
Medical Director Oncology
UnitedHealth Group
Role Description The Medical Director Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. - Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes. - Serve as a subject matter expert in evidence-based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence. - Engage and collaborate with treating providers telephonically; this will include discussion of evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact health care expense. - Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies and stakeholders. - Evaluate clinical and other data (e.g., quality metrics, claims and health record data, utilization data) to identify opportunities for improvement of clinical care and processes. - Collaborate with operational and business partners on enterprise-wide research and clinical and quality initiatives to enhance Optum impact in the oncology field. Qualifications - MD or DO with an active, unrestricted medical license. - Obtain additional licenses as needed. - Current Board Certification in an ABMS or AOBMS specialty in Oncology. - 5+ years of clinical practice experience (inclusive of Medical Oncology). - Experience working with NCCN guidelines. - Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, case management, disease management, quality management, product development, and/or peer review. - Participate in rotational holiday and call coverage. Requirements - Experience in managed care and quality management. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). 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.
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