Medical Director - Post-Acute Care Management - Care Transitions - Remote
Company: Optum
Location: San Francisco
Posted on: May 12, 2025
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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 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.
Looking for a chance to drive measurable and meaningful improvement
in the use of evidence-based medicine, patient safety, practice
variation and affordability? You can make a difference at
UnitedHealth Group and our family of businesses in serving our
Medicare, Medicaid and commercial members and plan sponsors. Be
part of changing the way health care is delivered while working
with a Fortune 5 industry leader.
You'll enjoy the flexibility to work remotely * from anywhere
within the U.S. as you take on some tough challenges. -
Primary Responsibilities:
Work to improve quality and promote evidence-based medicine
Provide information on quality and efficiency to doctors, patients
and customers to inform care choices and drive improvement
Support initiatives that enhance quality throughout our national
network
Ensure the right service is provided at the right time for each
member -
Work with medical director teams focusing on inpatient care
management, clinical coverage review, member appeals clinical
review, medical claim review and provider appeals clinical review
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Success in this technology-heavy role requires exceptional
leadership skills, the knowledge and confidence to make autonomous
decisions and an ability to thrive in a production-driven
setting.
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 degree
Active, unrestricted physician state license
Current board certification in ABMS or AOA specialty
5+ years of clinical practice experience post residency
Solid understanding of and concurrence with evidence-based medicine
(EBM) and managed care principles
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Preferred Qualifications:
Hands-on utilization and/or quality management experience
Project management or active project participation experience
Substantial experience in using electronic clinical systems -
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy. -
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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 local
labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as
applicable. 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. -
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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.
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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.
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UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: Optum, Watsonville , Medical Director - Post-Acute Care Management - Care Transitions - Remote, Executive , San Francisco, California
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