Medical Director Radiation Oncology Specialist

4 weeks ago

Austin, Texas, United States UnitedHealth Group Full time
Optum Radiation Oncology Medical Director

At Optum, we're dedicated to delivering care that improves health outcomes for millions of people worldwide. As a Radiation Oncology Medical Director, you'll play a critical role in implementing a comprehensive Radiation Oncology solution that meets clinical, quality, and financial performance objectives.

This innovative solution will ensure that providers deliver high-quality, evidence-based, and cost-efficient radiation oncology care for our clients. As a hands-on, action-oriented clinician, you'll work closely with the radiation oncology team to achieve high levels of quality, affordability, and member and provider satisfaction.

Key Responsibilities:
  • Perform utilization review determinations for radiation oncology populations and support case and disease management teams to achieve optimal clinical outcomes.
  • Engage with providers by phone to discuss evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that impact healthcare expense.
  • Enhance clinical expertise of the radiation oncology team through education sessions with nursing teams and serving as a thought leader and point of contact for relevant medical societies and stakeholders.
  • Deliver the Optum clinical value proposition focused on quality, affordability, and service, in support of sales and growth activities, including conducting client presentations and participating in customer consultations.
  • Evaluate clinical and other data to identify opportunities for improvement of clinical care and processes.
  • Collaborate with operational and business partners on enterprise-wide research, clinical, and quality initiatives to enhance Optum's impact in the Radiation Oncology field.
  • This remote-work position requires the use of a company-provided personal computer, internet access, and familiarity with Microsoft Office applications.
  • Rotational weekend/holiday on-call coverage as scheduled.
Requirements:
  • MD or DO with an active, unrestricted medical license.
  • Current board certification in Radiation Oncology.
  • 5+ years of clinical practice experience (inclusive of radiation oncology).
  • Demonstrated accomplishments in medical care delivery systems, utilization management, case management, disease management, quality management, product development, and/or peer review.
  • Proven ability to quickly gain credibility, influence, and partner with staff and the clinical community.
  • Participation in rotational weekend/holiday on-call coverage as scheduled.
  • Proficiency with Microsoft Office applications.
Preferred Qualifications:
  • Experience in managed care, quality management, or administrative leadership.
  • Experience working with payer guidelines.
  • Experience in client-facing customer relationship management.

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.

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