Optum, a leader in global healthcare, is on a mission to enhance the well-being of millions by leveraging technology to provide exceptional care. By joining our dynamic team, you’ll play a vital role in improving health outcomes as we connect individuals with the necessary resources, pharmacy benefits, and healthcare services they need to thrive. Experience a workplace culture that champions diversity and inclusion, alongside a network of talented professionals, comprehensive benefits, and robust career growth opportunities. Make a difference in the communities we support and help us drive health equity worldwide. Let’s embark on this journey of Caring. Connecting. Growing together.

As the Medical Director for Oncology, your expertise will be crucial in performing utilization review determinations and supporting case and disease management teams to achieve outstanding clinical results.

Enjoy the flexibility of working remotely from anywhere in the U.S. as you tackle the challenges that lie ahead.

Main Responsibilities:

• Conduct utilization review determinations for oncology patient populations while collaborating with case and disease management teams to ensure optimal clinical outcomes.
• Act as a subject matter expert on evidence-based oncology guidelines, particularly those established by the National Comprehensive Cancer Network (NCCN), ensuring that our clinical policies are grounded in the best available evidence.
• Engage with treating providers through telephonic discussions, focusing on evidence-based guidelines, identifying clinical quality and service gaps, and suggesting care plan adjustments to decrease healthcare costs.
• Enhance the Oncology team’s clinical knowledge through educational sessions for nursing staff, serving as a thought leader and point of contact for relevant medical societies and stakeholders.
• Analyze clinical and other relevant data—such as quality metrics, claims, health record data, and utilization statistics—to pinpoint opportunities for improving clinical care and workflows.
• Collaborate with operational and business partners on wide-ranging research and clinical quality initiatives to strengthen Optum’s influence in the oncology sector.

You’ll receive recognition and rewards for your accomplishments in an environment that challenges you while providing clear paths for success and the opportunity to explore future roles.

Required Qualifications:

• Medical Doctor (MD) or Doctor of Osteopathy (DO) with an active, unrestricted medical license.
• Ability to obtain additional licenses as required.
• Current Board Certification in an ABMS or AOBMS specialty in Oncology.
• A minimum of 5 years of clinical practice experience, including work in Medical Oncology.
• Familiarity with NCCN guidelines.
• Proven track record in areas such as medical care delivery, utilization management, case management, disease management, quality management, product development, and peer review.
• Willingness to participate in rotational holiday and call coverage.

Preferred Qualifications:

• Experience in managed care and quality management.

All remote employees must comply with UnitedHealth Group’s Telecommuter Policy.

The salary range for this position is between $238,000 and $357,500 annually based on full-time employment. This range represents total cash compensation and may vary according to individual experience and performance metrics. Compensation is influenced by various factors, including education, work history, and certifications. In addition to a competitive salary, UnitedHealth Group provides a comprehensive benefits package, including incentive and recognition programs, equity stock purchase options, and a 401k contribution (subject to eligibility requirements). Regardless of when you embark on your career with UnitedHealth Group, a diverse array of benefits and incentives awaits.

Application Deadline: This position is posted for a minimum of 2 business days or until a sufficient number of candidates are gathered. The posting may close early due to high applicant volume.

At UnitedHealth Group, our mission centers around helping people lead healthier lives and improving the healthcare system for everyone. We believe that all individuals—regardless of race, gender, sexuality, age, location, or income—should have the opportunity to achieve their best health. Unfortunately, many barriers to good health persist, disproportionately affecting people of color and historically marginalized communities. We are dedicated to reducing our environmental impact and delivering equitable care that tackles health disparities and enhances health outcomes—an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will be considered 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 safeguarded by local, state, or federal laws.

UnitedHealth Group maintains a drug-free workplace. Candidates must successfully pass a drug test prior to employment.