Title: Clinical Review Medical Director - Neurology - Remote Location: United States Work Type: Remote, Full Time Job ID: 2349681 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 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. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations - Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements - Engage with requesting providers as needed in peer-to-peer discussions - Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews - Participate in daily clinical rounds as requested - Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy - Communicate and collaborate with other internal partners - Call coverage rotation 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: - M.D or D.O. - Active unrestricted license to practice medicine - Board Certification in Neurology through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) - 5+ years of clinical practice experience after completing residency training - Sound understanding of Evidence Based Medicine (EBM) - Proven solid PC skills, specifically using MS Word, Outlook, and Excel Preferred Qualifications: - Licensed in MA or MN - Utilization Management or clinical coverage review experience for an insurance or managed care organization - Proven data analysis and interpretation aptitude - Proven innovative problem-solving skills - Demonstrated excellent presentation skills for both clinical and non-clinical audiences - Demonstrated excellent oral, written, and interpersonal communication skills, facilitation skills - Willing to obtain additional licensures if needed - 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. 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.

Role Description ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Scribe Professional to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you! - Converting transcribed diagnostic test results, procedures, and consultation notes into applicable report formats - Typing out the full forms of medical abbreviations and acronyms, as well as the formal versions of medical jargon - Collaborate with team members and other departments to improve overall customer experience - Meet or exceed individual and team targets Qualifications - Must be a graduate of any medical course - Must have 1 year of Medical Scribes / Transcriptionist Experience - With experience in ECW - Averaging 50-60 WPM - Excellent verbal and written English skills - Amenable working night shift Benefits - Competitive salary and benefits - Health Insurance with free dependents* - 10%-night differential - Attendance Bonus - Paid time off - Convertible to cash leave credits - Performance Appraisal - Work-life balance - A focus on growing your career path with us - We encourage you to follow your passions and learn new skills Company Description - Strong culture and values-driven leadership - We create opportunities for you to learn and grow at any stage of your career - Continuous learning and innovation - We foster an all inclusive environment where everyone thrives

Role Description We are expanding our team and seeking dedicated Medical and Legal Interpreters for Over-the-Phone (OPI), Video Remote (VRI), and scheduled sessions. We have high-priority opportunities available now with a fast-tracked onboarding process to get you started quickly! Qualifications - Minimum 1+ years of professional interpretation experience (this is a must) - Proven expertise in Medical or Legal sectors (Please include your Experience in your English Resume) - Availability for OPI/VRI or scheduled appointments - High level of listening, note-taking, and memory retention skills Requirements - Professional, HIPAA compliant Setup - Wired USD headset with noise cancellation - At least 10Mbps upload speed and 20 Mbps download speed Benefits - Competitive Per-Minute Rates: - Spanish <>English: $0.10 (Probation) ➞ $0.13 (Post-Probation) Per Min rates - Arabic <>English: $0.10 (Probation) ➞ $0.13 (Post-Probation) Per Min rates - Mandarin: $0.25 Per min Rates - ⚠️ Note: Due to high demand, available seats are filling up fast! ⚠️ How to Apply Ready to take the next step? Please submit your application through this form. Why Join Us? - Remote Flexibility: Work from anywhere with a stable internet connection. - Fast Onboarding: Get started with active projects almost immediately. - Impactful Work: Facilitate critical communication in life-changing legal and medical scenarios.

• To evaluate medical reports escalated due to deficient information utilizing evidence based criteria; • To provide leadership within the dedicated team of clinician and claim professionals. • Participate in client stewardship discussions, claim roundtables, and complex medical escalations. • Stay current on emerging medical trends, treatment standards, clinical literature, and evidence-based guidelines; • Support workers’ compensation, disability, FMLA, fitness-for-duty, return-to-work, liability, and safety-sensitive workforce issues. • Obtain and maintain Medical Director licensure in a few select states, as needed. • Apply applicable clinical guidelines and medical literature to support defensible recommendations, claim discussions, and treatment-plan clarification. • Engage treating providers when needed and support appeals, independent medical review considerations, peer review alignment, and clinical quality review. • Documenting recommendations within templates in Juris and SharePoint using the appropriate format referencing evidence-based criteria within the required time frame. • Developing and delivering training materials and presentations to meet training needs. • Interfacing and providing guidance and leadership to the Client dedicated leadership team as well as team leads.