REMOTE OPPORTUNITY - Must be a licensed Physician

$20,000 Sign-on Bonus for individuals who have not previously participated in this program

PACU Management (Adult or Pediatric) remote using phone/computer - authorization reviews, peer to peer discussions, interaction with colleagues, team members, and management

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

The Medical Director will partner with cross-functional teams and senior leaders to ensure that Optum leads the industry in innovative health management strategies and is considered an expert in the field of post-acute care. The role is a physician leader with a proven track record of innovation, achievement of measurable goals, and exceptional clinical competencies. They take a proactive approach to the marketplace and are responsible for continuously reshaping Optum's corporate wide strategies.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

Primary Responsibilities:

• Provide daily utilization oversight and external communication with network physicians and hospitals
• Responsible for daily UM reviews - authorizations and denial reviews
• Conduct peer to peer conversations for the clinical case reviews, as needed
• Conduct provider telephonic review and discussion, schedule on-site visits, and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
• Communicate effectively with network and non-network providers to ensure the successful administering of Optum's services
• Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers
• Represent Optum on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders
• Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers.
• Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals
• Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees
• Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting
• Regularly meet with Optum's leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues
• Provide input on local needs for Analytics Team and Client Services Team to better enhance Optum's products and services
• Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME
• Perform other duties and responsibilities as required, assigned, or requested
  

Compensation/Benefits Highlights:

• Competitive base pay and bonus rewards incentives
• Generous PTO package and eight holidays per year
• Matching 401k
• UnitedHealth Group offers medical, dental and vision health plans
• Life Insurance and Accidental Death & Dismemberment (AD&D) Coverage
• Spouse or Domestic Partner Life Insurance and AD&D
• Short and Long Term Disability Coverage
• Employee Stock Purchase Plan
• Employee Discounts
• Paid Parental Leave
• Tuition Reimbursement
• And more...
  

What makes an OptumCare organization different?

• Our care model limits daily volume to allow our providers the time needed to provide quality care to their patients
• We offer clinical and leadership growth and stability second to none
• Providers are supported to practice at the peak of their license
• We are influencing change on a national scale while maintaining the culture and community of our local care organization
• The culture is one of clinical innovation and transformation
  

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:

• Board Certified / Board Eligible in Family Medicine, Internal Medicine, General Medicine, Palliative Medicine, Pulmonology (Adult or Pediatric)
• Medical Doctorate or Doctorate of Osteopathy
• Current, unrestricted medical license, and the ability to obtain licensure in multiple states
• 2+ years of experience practicing in an acute inpatient environment, where dealing with managed care organizations made up at least half of inpatient practice
• Experience working in Long Term Acute Care, Acute In-Patient, Rehab, Skilled Nursing Facility
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
  

Preferred Qualifications:

• Proven solid business acumen, including working knowledge of changing U.S. payer and provider landscape
• Demonstrated excellent analytic skills
• Proven solid interpersonal skills and necessary business acumen to communicate and build positive relationships with management
• Proven highest level of ethics and integrity
• Ability to work with others while completing multiple tasks simultaneously and successfully
• Ability to complete assignments with reasonable oversight, direction, and supervision
• Ability to be highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment
• Proven clear, concise and persuasive verbal and written communication
• Ability to positively interact with other clinicians, senior management, patients and their families, and all levels of medical and non-medical professionals
• Demonstrated excellent organizational, verbal and written communication and presentation skills
  

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.