Remote Medical Director for Post-Acute Care Management and Care Transitions – Nationwide Opportunity in the US
Optum
Florida, United States Full-time posted 4 hours ago in Healthcare & Medical-
Job ID 2781707
Job Description
Join Optum, a pioneering global organization committed to enhancing health outcomes through innovative technology and compassionate care. As a member of our team, your contributions will play a vital role in connecting individuals with essential healthcare services, pharmacy benefits, and valuable resources, enabling them to lead healthier lives. Here, we cultivate a culture that values inclusion, teamwork, and professional growth, coupled with competitive benefits. Be part of our mission to elevate health optimization worldwide and help shape healthier communities. Together, let’s embark on a journey of Caring. Connecting. Growing together.
Why Choose Care Transitions?
Care Transitions is dedicated to collaborating with exceptionally skilled professionals who are passionate about transforming healthcare for the better. Born from nearly two decades of visionary leadership and innovation, we challenge conventional care transition solutions to create impactful experiences for each patient. We approach healthcare differently, with a vibrant, dynamic environment that embraces the latest technologies aligned with our strategic vision.
You’ll enjoy the flexibility of remote work from anywhere in the U.S., tackling exciting challenges with our growing team. We are in search of Medical Directors who can work daytime hours across continental U.S. time zones.
Your Responsibilities:
- Oversee daily utilization and engage in effective communication with network physicians and hospitals.
- Conduct daily Utilization Management (UM) reviews, including authorizations and denial assessments.
- Facilitate peer-to-peer discussions for clinical case evaluations as necessary.
- Perform provider telephonic reviews, sharing resources and best practices related to cost-effective and quality care.
- Collaborate with both network and non-network providers to ensure the seamless delivery of Care Transitions’ services.
- Address clinical inquiries and act as a non-promotional medical liaison for various healthcare providers.
- Represent Care Transitions at appropriate external events, cultivating relationships with key thought leaders.
- Partner with the Client Services Team to ensure a synchronized approach with delivery system providers.
- Contribute to strategic action plans and initiatives aimed at resolving critical issues and tracking progress toward targets.
- Engage and collaborate with community physicians, hospital executives, and vendors concerning care and services for enrollees.
- Lead initiatives to optimize cost management through coordination with provider contracting and network management.
- Regularly consult with Care Transitions’ leadership to address care coordination challenges and develop joint intervention plans.
- Provide insights to the Analytics and Client Services teams for the enhancement of Care Transitions’ offerings.
- Manage local inquiries related to patient case management, either directly responding or escalating as necessary.
- Participate actively on the Medical Advisory Board.
- Be available for intermittent scheduled weekend and evening coverage.
- Carry out additional duties and responsibilities as assigned or requested.
In return for your hard work and dedication, you’ll be recognized and rewarded in an environment that fosters your professional development and provides clear pathways for advancement in your career.
Qualifications We Seek:
- Board certification as an MD, DO, or MBBS with an active, unrestricted medical license and the ability to sustain necessary credentials.
- Current, unrestricted medical license with the capability to secure licensure across multiple states.
- A minimum of 3 years’ post-residency clinical experience, preferably in an inpatient or post-acute care setting.
Preferred Qualifications:
- Licensed in multiple states, with a willingness to obtain additional state licenses supported by Optum.
- Understanding of population-based medicine, particularly knowledge of CMS criteria for post-acute care.
- Proven track record of collaboration within a team environment while managing multiple responsibilities.
- Ability to handle tasks independently and complete assignments with minimal supervision.
- Excellent interpersonal skills for interacting positively with clinicians, management, and professionals across different disciplines.
- Proficiency in utilizing electronic health records and associated technologies.
- Strong organizational, analytical, verbal, and written communication abilities.
- Highest ethical standards and integrity.
- Highly self-motivated, with the flexibility to thrive in a fast-paced, dynamic workplace.
All remote employees are expected to adhere to UnitedHealth Group’s Telecommuter Policy.
The salary range for this role is $238,000 to $357,500 annually, determined by factors such as experience and performance. At UnitedHealth Group, we also provide a comprehensive benefits package that includes incentive programs, equity stock purchase options, and 401k contributions (subject to eligibility criteria). Regardless of where you begin your career with us, you’ll enjoy an extensive array of benefits and incentives.
Application Timeline: This posting will remain active for at least 2 business days or until we gather a sufficient number of applicants. The listing may close earlier due to a high volume of submissions.
At UnitedHealth Group, our mission is to empower healthier lives and enhance the healthcare system for all. We believe in equitable care for everyone, regardless of race, gender, sexuality, age, location, or income. Despite progress, significant barriers to good health remain, particularly for marginalized communities. We are dedicated to addressing these disparities to foster better health outcomes as part of our core mission.
UnitedHealth Group is an Equal Employment Opportunity employer. We welcome qualified applicants regardless of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status.
UnitedHealth Group maintains a drug-free workplace. All candidates must pass a drug test prior to commencing employment.