Title: Medical Director Oncology - Utilization Management - Remote anywhere in US Location: United States Requisition number: 2286240 Job category: Medical & Clinical Operations vertime status: Exempt Travel: No 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. 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. Primary Responsibilities: - 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 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 - 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 Preferred Qualification: - Experience in managed care and quality management - All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $238,000 to $357,500 annually based on full-time employment. 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. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. 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.

Title: Medical Director - Clinical Advocacy and Support - Remote Location: Phoenix United States Overtime status: Exempt Travel: No 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 for all lines of business. 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 certified in Family Medicine or Internal Medicine 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 - Ability to participate in call coverage rotation Preferred Qualifications: - Licensed in AZ, CA, MN, TX, KY, MD or HI - Utilization Management or clinical coverage review experience for an insurance or managed care organization OR 2+ years of Hospitalist Experience - Proven excellent oral, written, and interpersonal communication skills, facilitation skills - Proven data analysis and interpretation aptitude - Proven innovative problem-solving skills - Proven excellent presentation skills for both clinical and non-clinical audiences - All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation for this specialty generally ranges from $248,500 to $373,000. 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.

Title: Senior Clinical Secretary - Medical Oncology Location: US-NH-Lebanon ID2026-39843 Category Secretarial/Clerical/Administrative Position Type Full-Time (30 to 40 hrs per week) Location Name Lebanon, NH Job Description: Overview ***REMOTE OPPORTUNITY AFTER INITIAL TRAINING PERIOD IS COMPLETED AND MANAGER SIGNS OFF*** Performs a variety of independent administrative support in addition to a wide range of customer service-related duties. Schedules patients, manages multiple calendars, schedules surgical/infusion procedures. Designs, analyzes and coordinates master and other schedules. May direct special projects and/or the work of other employees, work study students, floats, temporary help, volunteers, etc. Responsibilities - - Answers telephone, screens and directs calls, gives directions, and takes messages. - Schedules patients, manages calendars, schedules surgical procedures, ancillaries, rotaries, and coordinates deposition scheduling. - - Designs, analyzes, and coordinates master and other schedules. - - Maintains, tracks, and sends charts. May provide scribing and other administrative support to clinical staff. - - Types letters, memoranda, manuscripts, grants, etc. Composes and edits correspondence. - - Creates forms and spreadsheets, tables, charts, databases and slides. - - Performs file/record management functions, prepares/constructs charts/departmental patient records, and obtains new medical record numbers. - - Completes and processes a variety of reports, forms, reimbursements, etc. Obtains authorizations and pre-certifications. - - Conducts on the job training for new staff members and gives input into performance appraisals. Directs the work of other employees, work study students, floats, temps, volunteers and others. - - Creates agendas and takes minutes for meetings. - - Coordinates conferences/meetings and make travel arrangements. - - Performs budget tracking and record keeping procedures. Addresses billing concerns, and solves patient billing issues. Maintains account/fund bookkeeping, and provides input into budget preparation. Maintains petty cash, collects money from patients, and performs balancing and cash-out functions. Reviews billing sheets. - Prepares grants and negotiates outside contracts. - Performs other duties as required or assigned. Qualifications - - High School diploma with 3 years of administrative support experience or the equivalent required. - - Proven experience working with the public required. - - Knowledge of medical terminology may be required. - - Proficiency in PC word processing, spreadsheets, and Excel, Power Point, MC Publisher software's. - - Excellent communication and interpersonal skills required. - - Previous experience working in a medical setting preferred. - Required Licensure/Certifications - None -

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.