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UM Medical Director - Optum (Telecommute)

UnitedHealth Group

Minneapolis, MN
Job Code:
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Job Details

UM Medical Director - Optum (Telecommute)(Job Number:722094)

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing one patient at a time, you have the opportunity to impact health care trend across the population with data driven information and tools to drive evidence based care. Join us. And start doing your life's best work.(sm)


Primary Responsibilities:

  • Act as the lead physician reviewer with primary responsibility for UMR and OHUM case reviews averaging 10-20 per day, focused on utilization, case, and disease management
  • Support case and disease management teams to achieve optimal clinical outcomes for high risk populations
  • Proficient in evidence based clinical guidelines and lead grand round clinical education sessions with nursing teams
  • Primary functions include RN case manager support, and consultation about high risk members, and assisting in account management team external presentations
  • Be involved in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers. There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators
  • Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting Broker / Client presentations and participating in customer consultations

By providing 70 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals

At Optum, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined

Job Clinical Analysis & Consulting
Primary Location US-MN-Minneapolis
Other Location US-TX-Dallas, US-CA-San Francisco, US-PA-Philadelphia, US-IN-Indianapolis, US-GA-Atlanta, US-OH-Cincinnati
Organization Optum Ops-PHM Clinical Svcs
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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