Medical Director

4 weeks ago

Omaha, United States UnitedHealth Group Full time

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.

 

We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care.  Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level.  

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 

Primary Responsibilities:

  • Participate 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
  • Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review 
  • Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
  • Maintain proficiency in all required software and platforms
     

Although the United Health Services ICM Medical Director‘s work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management. 

 

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
  • Current Board Certification in an ABMS or AOBMS specialty
  • 3+ years of clinical practice experience post residency
  • Private home office and access to high-speed Internet
  • Technical proficiency in computer software and systems

 

Preferred Qualifications:        

  • Licensure in either HI, AK, OR, ID, WA, UT a plus
  • 2+ years of managed care, Quality Management experience and/or administrative leadership experience
  • Prior UM experience
  • Clinical experience within the past 2 years

 

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

 

California, Colorado, Connecticut, Hawaii, 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

    1 week ago

    Omaha, United States Wexford Health Sources Full time

    POSITION: Medical DirectorSCHEDULE: 40 Hours Per Week – Day Shift FACILITY: Douglas County Correctional CenterLOCATION: 710 S. 17th St, Omaha, NEA Job Should be MORE than just a paycheck.Wexford Health Sources, Inc. is one of the nation’s largest correctional health care providers. Over the past 30 years, our team of dedicated clinical professionals has...

  • Physician Center Medical Director

    6 months ago

    Omaha, United States Concentra Career Choice Full time

    Overview: SIGN ON BONUS!!! Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and...

  • Medical Director Physician

    5 days ago

    Omaha, United States FCS, Inc. Full time

    Adult Psychiatrist needed for a Medical Director position in Omaha Consideration process will move quickly if you are the right fit! We are also looking for candidates that hold values of integrity, respect, compassion, growth, and excellence. Candidates with experience in corrections a plus. Great pay with AMAZING benefits. If you are qualified and feel...

  • Medical Director Physician

    4 weeks ago

    Omaha, United States SimplyApply Full time

    Adult Psychiatrist needed for a Medical Director position in Omaha Consideration process will move quickly if you are the right fit! We are also looking for candidates that hold values of integrity, respect, compassion, growth, and excellence. Candidates with experience in corrections a plus. Great pay with AMAZING benefits. If you are qualified and feel...

  • Gastroenterology Director Position at University of Nebraska Medical Center

    1 week ago

    Omaha, Nebraska, United States Nebraska Medical Center Full time

    Job SummaryGastroenterology leadership opportunity available at the University of Nebraska Medical Center. The successful candidate will lead a multidisciplinary team to build a premier Inflammatory Bowel Disease Center. The role includes visioning, strategic planning, and growth of the Division.About the RoleThe selected candidate will be responsible for...

  • Medical Director for Emergency Medicine

    1 week ago

    Omaha, Nebraska, United States CommonSpirit Health Full time

    About the OpportunityCommonSpirit Health is seeking an experienced Medical Director for our Emergency Medicine department. This leadership role will oversee the clinical and operational aspects of the emergency department, ensuring high-quality patient care and efficient operations.Key ResponsibilitiesServe as the leader of the physician and APP team...

  • Medical Director

    1 week ago

    Omaha, Nebraska, United States CommonSpirit Health Full time

    Join Our Gastroenterology DepartmentWe are seeking a highly skilled Medical Director - Gastroenterology Department to lead our team at CommonSpirit Health in Omaha, Nebraska.The successful candidate will have the opportunity to work in a state-of-the-art facility, providing cutting-edge care for patients with gastrointestinal diseases.This is an excellent...

  • Medical Director

    4 weeks ago

    Omaha, NE, United States Wexford Health Full time

    POSITION: Medical Director SCHEDULE: 40 Hours Per Week - Day Shift FACILITY: Douglas County Correctional Center LOCATION: 710 S. 17th St, Omaha, NE A Job Should be MORE than just a paycheck. Wexford Health Sources, Inc. is one of the nation's largest correctional health care providers. Over the past 30 years, our team of dedicated clinical...

  • Medical Director for Acute Psychiatric Inpatient Service

    3 weeks ago

    Omaha, Nebraska, United States CommonSpirit Health Full time

    About the RoleAt CommonSpirit Health, we are seeking a Medical Director to lead our Acute Psychiatric Inpatient Service. This role is responsible for providing visionary leadership and clinical expertise in overseeing the delivery of high-quality patient-centered care. Key ResponsibilitiesThe successful candidate will be accountable for supervisory and...

  • Medical Director Opportunity in Psychiatric Services

    2 weeks ago

    Omaha, Nebraska, United States FCS - Psychiatric Recruitment Full time

    Job OverviewFCS - Psychiatric Recruitment is seeking a highly skilled Medical Director to oversee their new service line in the suburbs of Omaha, Nebraska. This is a permanent position offering competitive pay and wonderful benefits.About the RoleThe successful candidate will be responsible for overseeing the new service line, providing leadership and...

  • Medical Director Medical Oncology

    3 days ago

    Omaha, United States UnitedHealth Group Full time

    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,...

  • Medical Director in Radiation Oncology

    1 week ago

    Omaha, Nebraska, United States Nebraska Medical Center Full time

    The Department of Radiation Oncology at the University of Nebraska Medical Center invites an experienced Radiation Oncologist to join our team at June E. Nylen Cancer Center in Sioux City, IA.Opportunity Highlights:A 100% clinical practice environment with a team of two radiation oncologists and highly trained staffLATEST TECHNOLOGY FOR TREATMENT DELIVERY...

  • Director of Finance-Healthcare

    23 hours ago

    Omaha, United States Banyan Medical Solutions Full time

    Job DescriptionJob DescriptionAbout Banyan Medical Solutions  Banyan began offering Virtual Nursing services in 2009, making us one of the pioneers in this space. Since then, we have exclusively partnered with hospitals to provide scalable, effective, and reliable virtual nursing solutions. To support our innovative approach to virtual nursing, we have...

  • Assistant Director MEMMP Academic Rank/Depends on Qualifications

    18 hours ago

    Omaha, United States University of Nebraska Medical Center Full time

    Requisition Number: 2024 - 417Business Unit: College of NursingDepartment: CON-Student Services 50001250Reg-Temp: Full-Time RegularPosition Summary:The UNMC College of Nursing is seeking an applicant for a full-time 12-month faculty position for the MEMMP. We invite applications from candidates who share our mission to transform lives through a premier...

  • RN- Medical ICU

    2 months ago

    Omaha, United States Nebraska Medical Center Full time

    Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: Third Shift (United States of America) Staff Nurse -Medical ICU ASK YOUR RECRUITER ABOUT: * New Tier Pay Structure for RNs!! * Tuition Reimbursement * Loan Repayment Program Position...

  • Medical Director

    1 week ago

    Omaha, Nebraska, United States American Family Care Omaha Full time

    Job Title:Staff Physician**About American Family Care Omaha**American Family Care (AFC) is a leading provider of primary and urgent care services in the United States. With multiple locations throughout the country, AFC offers high-quality healthcare to patients of all ages. This position is based at our Omaha location, where we provide top-notch medical...

  • Director of Oncology Early Phase Research/Rank DOQ

    24 hours ago

    Omaha, United States University Of Nebraska Medical Center Full time

    Director of Oncology Early Phase Research/Rank DOQ UNMC is an Affirmative Action Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities. Location Location Omaha, NE Requisition Number: Requisition Number: 2020-226 Department Business Unit(College/Institute) ...

  • Clinical Director

    2 hours ago

    Omaha, United States Heartland Family Service Full time

    At Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity and inclusion. We believe this allows for better service delivery and innovation, as it encourages our employees to bring various experiences and uniqueness to the workplace.Trauma Informed Care is an approach to engaging people...

  • Clinical Director

    2 days ago

    Omaha, United States Heartland Family Service Full time

    Job DescriptionJob DescriptionAt Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity and inclusion. We believe this allows for better service delivery and innovation, as it encourages our employees to bring various experiences and uniqueness to the workplace.Trauma Informed Care is an...

  • National Sales Director

    19 hours ago

    Omaha, United States Stratus Building Solutions Full time

    National Sales Director Fully Remote - USAbout the Role:We are seeking a dynamic and results-driven National Sales Director to join our team at SSG in a remote and national role. As the National Sales Director (NSD), you will play a crucial role in leading our sales team to drive revenue and expand our customer base in Recurring Account Sales, Unit Franchise...