Medical Director
3 weeks ago
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 resources 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.
The Optum Medical Director Specialty Pharmacy will provide utilization management services for our clients and clinical guidance for our next-generation comprehensive specialty pharmacy solution. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient specialty pharmacy care for our clients.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Serve as a subject matter expert in specialty pharmacy drugs covered under the medical benefit to include for example sodium hyaluronate, inflammatory, intravenous immunoglobulin and multiple sclerosis drugs
- Perform utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes
- Engage & collaborate with treating providers telephonically. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense
- Enhance clinical expertise of the specialty pharmacy team through education sessions with nursing teams
- Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes
- Participate in rotational holiday and call coverage
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 with an active, unrestricted medical license
- Board Certified in a Medical Specialty
- 5+ years of clinical practice experience post residency
- Demonstrated accomplishments in any of the following areas: Utilization management, Case management, Disease management, Quality management
- Computer skills to include MS Office and the ability to learn new technologies
- Participate in rotational holiday and call coverage
Preferred Qualifications:
- Utilization management experience working in collaboration with a utilization management company, payor or hospital
- Experience working with clinical policy
- Effective presentation skills and interpersonal skills
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. 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.
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.
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. Candidates are required to pass a drug test before beginning employment.
-
Medical Director
2 weeks ago
Atlanta, United States Odell Medical Search Full timeJob TitlePrime Healthcare is seeking a highly skilled Medical Director to lead our team of healthcare professionals.About the RoleThe ideal candidate will have a Master's Degree in a Medical Rehabilitation field and at least 5 years of clinical practice experience with supervisory responsibilities.They should be licensed by the Physical Therapy Board of...
-
Medical Director Lead
2 weeks ago
Atlanta, Georgia, United States One Medical Full timeAbout Our TeamAt One Medical, we're dedicated to building a diverse, driven, and empathetic team that shares our mission to transform healthcare. As a District Medical Director, you'll join a community of passionate professionals who are committed to delivering exceptional care and making a meaningful difference in patients' lives.We offer a comprehensive...
-
District Medical Director
2 months ago
Atlanta, United States One Medical Full timeAbout Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health...
-
Medical Director
1 week ago
Atlanta, Georgia, United States One Medical Full time**Company Overview:**One Medical is a primary care solution that challenges the industry status quo by making quality care more affordable, accessible, and enjoyable. We're on a mission to transform healthcare, improving the experience for everyone involved – from patients and providers to employers and health networks.We deliver seamless in-office and...
-
Primary Care Medical Director
2 weeks ago
Atlanta, Georgia, United States One Medical Full timeAbout One MedicalCompany OverviewOne Medical is a leading primary care solution that offers high-quality, affordable healthcare to patients nationwide. Our mission is to transform the healthcare experience by making it more accessible, enjoyable, and personalized.Job SummaryWe are seeking an experienced District Medical Director to lead our team in Atlanta....
-
District Medical Director
4 weeks ago
Atlanta, Georgia, United States One Medical Full timeAbout UsAt One Medical, we're redefining primary care by making it more accessible, affordable, and enjoyable. Our team is dedicated to delivering exceptional health care to our patients, and we're looking for a talented District Medical Director to join us.The RoleThis is a full-time position based in Atlanta, Georgia, with quarterly travel to Huntsville,...
-
Medical Director Opportunity in Georgia
1 week ago
Atlanta, Georgia, United States Adaptive Medical Partners Full timeThis esteemed psychiatric facility in Georgia is seeking a dedicated medical director to lead a dynamic team of professionals.The ideal candidate will have the opportunity to work in an outpatient setting with a four-day work week, allowing for a healthy work-life balance. The position offers a competitive salary with full benefits and a retention bonus of...
-
Medical Territory Director
6 days ago
Atlanta, Georgia, United States Sequel Medical Technology Full timeSequel Medical Technology: A Pioneer in Precision Drug DeliveryWe are seeking an experienced Medical Territory Director to join our team at Sequel Medical Technology, a leading developer of innovative precision drug delivery devices. The successful candidate will partner with a Clinical Diabetes Specialist to launch new products and drive business growth in...
-
District Medical Director
3 weeks ago
Atlanta, United States One Medical Full timeAbout Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health...
-
District Medical Director
4 weeks ago
Atlanta, United States One Medical Full timeAbout UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health...
-
District Medical Director
4 weeks ago
Atlanta, United States One Medical Full timep>About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health...
-
District Medical Director
4 weeks ago
Atlanta, United States One Medical Full timeJob DescriptionAbout UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers...
-
Advanced Practice Registered Nurse
4 weeks ago
Atlanta, Georgia, United States Medical Director Services PC Full timeAbout UsMedical Director Services PC was founded in 2016 with a vision to provide high-quality medical services in skilled nursing facilities. Our company emphasizes quality and customer service, with a focus on treating residents with respect and dignity. We strive to reduce unnecessary hospitalizations and promote effective medical care in SNF settings.Key...
-
Medical Director of Strategic Growth
3 weeks ago
Atlanta, Georgia, United States One Medical Full timeAbout One MedicalWe're a pioneering primary care solution dedicated to transforming healthcare. Our mission is to provide high-quality, affordable, and accessible care to everyone involved – from patients and providers to employers and health networks.Our cutting-edge approach includes seamless in-office and 24/7 virtual care services, on-site labs, and...
-
Medical Director
2 weeks ago
Atlanta, Georgia, United States Emory Healthcare Full timeJob Summary:We are seeking a Medical Director to lead our team of healthcare professionals at Emory Healthcare. This is a challenging and rewarding role that requires a strong clinical background, excellent leadership skills, and the ability to make sound medical decisions.About the Role:This position will be responsible for overseeing the medical care of...
-
Atlanta, Georgia, United States Meraki Medical Staff Full timeWe are seeking a dedicated and experienced Gastroenterologist to join our medical team as a Medical Director for our Gastroenterology department in southern Georgia. As a Medical Director, you will be responsible for leading a team of healthcare professionals to provide high-quality patient care and contribute to the overall success of our...
-
Atlanta, Georgia, United States Enterprise Medical Recruiting Full time**Overview**Enterprise Medical Recruiting is seeking an experienced Medical Director to lead our family practice team in Georgia. As a seasoned healthcare professional, you will have the opportunity to build relationships with patients and staff while delivering high-quality care in a supportive environment. Salary: $250,000 - $300,000 per year, depending...
-
Senior Medical Director
2 weeks ago
Atlanta, Georgia, United States Adaptive Medical Partners Full timeOpportunity OverviewWe are seeking a highly skilled Senior Medical Director to lead our inpatient psychiatric team at our newly built 10-bed hospital wing in Georgia. This is an exceptional opportunity for a talented professional to take on a leadership role and make a meaningful impact in the lives of our patients.About the RoleThis full-time position...
-
Atlanta, Georgia, United States One Medical Full timeAs a leader in primary care, One Medical is revolutionizing the industry by making quality healthcare more accessible and enjoyable. With a strong focus on patient satisfaction, we strive to deliver exceptional medical services that exceed expectations.We offer a unique opportunity for an experienced physician to join our team as Executive Medical Director...
-
Medical Group Operations Director
7 days ago
Atlanta, Georgia, United States The Southeast Permanente Medical Group Kaiser Permanente Full timeJob OverviewThe Southeast Permanente Medical Group / Kaiser Permanente is seeking a highly skilled Medical Group Operations Director. As a key member of our team, you will play a critical role in driving operational excellence and improvement initiatives within our organization.This is an exceptional opportunity to join one of Georgia's largest independent,...
