Medical Director

2 weeks ago

Aurora, Colorado, United States UnitedHealthcare Full time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. Come build the health care system of tomorrow, making it more responsive, affordable and equitable.

Supports corporate objectives and ensures quality health care by providing physician oversight of Physical Health utilization management, care management, and Quality of Care.

If you are located in Colorado, you'll enjoy the flexibility to work remotely * as you take on some tough challenges.

Work collaboratively with the Chief Medical Officer, other Associate Medical Directors and other RMHP leadership to ensure the integrity of medical and clinical decisions
Provides physician input to clinical and medical services and interfaces with contracting IPAs and physicians on medical issues
Participate in the development and implementation of medical policies, practices, and standards for care to manager utilization and improve the quality of medical services provided by physicians
Provide medical expertise to clinical staff regarding complex medical cases
Conduct independent office reviews and Utilization Management preauthorization requests
Participate in the development or revisions of products to improve utilization, reduce costs, improve quality of care, and improve member health status
Work with individual and large physician provider groups to establish strong relationships that are conducive to the growth of the health plan and membership
Participate in the evaluation of new technologies and treatments related to health care and medical practices
May write and/or edit publications and make presentations for distribution to external medical providers, with the goals of providing unbiased, current, practical medical information and increasing medical providers' skills in critical interpretation of medical literature
This position may require travel.

Requires independent, reliable, flexible, and on-demand, transportation at the incumbent's expense for travel between various locations and timely arrival and departure from various locations.

Complete all duties in accordance with company safety policies and practices

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.

2+ years of Quality Management experience; Excellent project management skills
~ Data analysis and interpretation skills
~ Familiarity with current medical issues and practices
~ Creative problem-solving skills
~ Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Solid team player and team building skills

Reasonable accommodations may be made upon request to enable individuals with disabilities to perform the essential functions. Ability to execute regular, reliable, and predictable performance of the essential functions of this job through a consistent ability to be physically and mentally present at the assigned work location, at the prescribed time, with the prescribed tools and with the availability necessary to successfully complete the essential duties described herein
Ability to handle and manage stress associated with the performance of job duties
Ability to perform the essential functions of this job at the assigned primary work location for this job, which may be telecommute or in one of the RMHP office locations
Ability to effectively speak, understand and be understood, and communicate in English
Ability to hear adequately on the phone, in person and in group settings
Ability to travel primarily within the State of Colorado. Ability to travel between various locations and to timely arrive and depart from various locations
Ability to work a flexible schedule including before and after core business hours and occasional evenings and weekends
Ability to work in front of a computer screen and keyboard, sitting and/or standing up to 8-10 hours per day (possibly longer if required)
Ability to see computer screen and work papers
computer screen, projected images, printed material) and individuals
Ability to work in normal office environment conditions and with various office equipment (e.g., computer, keyboard, mouse, calculator, copier, printer, fax, scanner, telephone)

Ability to perform a variety of tasks that involve standing, walking, sitting, stooping, kneeling, bending and twisting, occasionally climbing stairs or using an elevator, possibly reaching chest high and overhead for materials.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Colorado Residents Only:
The salary range for Colorado residents is $286,104 to $397,743annually. Salary Range is defined as total cash compensation at target. Pay is based on several factors including but not limited to education, work experience, certifications, etc.

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).


Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

UnitedHealth Group is a drug - free workplace.

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