Chief Medical Officer

3 weeks ago

Los Angeles, California, United States UnitedHealth Group Full time

About UnitedHealth Group:

UnitedHealth Group is a worldwide leader in healthcare, utilizing innovative technology to enhance the well-being of millions. Our mission is to improve health outcomes by connecting individuals with essential care, pharmacy benefits, and valuable resources. Join our diverse and inclusive culture where you will collaborate with talented professionals, enjoy comprehensive benefits, and have opportunities for career advancement. Together, we strive to make a significant impact on the communities we serve, promoting health equity on a global scale.

Role Overview:

The Medical Director plays a pivotal role in supporting the operations of Enterprise Clinical Services, which is responsible for the initial clinical assessment of service requests. This position involves close collaboration with leadership and staff to establish, implement, and maintain clinical and operational processes that ensure quality improvement and cost-effectiveness in service delivery.

Key Responsibilities:

  • Conduct thorough coverage assessments based on individual member benefits and established review policies.
  • Document clinical review findings and actions in compliance with regulatory and accreditation standards.
  • Engage in peer-to-peer discussions with requesting providers as necessary.
  • Interpret existing benefit language and policies effectively during clinical reviews.
  • Participate in daily clinical rounds as required.
  • Collaborate with network and non-network providers to ensure accurate and timely benefit determinations.
  • Work closely with internal partners to enhance service delivery.
  • Participate in call coverage rotation.

Qualifications:

Required:

  • M.D. or D.O. degree.
  • Active, unrestricted medical license.
  • Board certification in an ABMS specialty, preferably in Hematology-Oncology, General Surgery, Rheumatology, Internal Medicine, or PM&R.
  • A minimum of 5 years of clinical practice experience post-residency.
  • Strong understanding of Evidence-Based Medicine (EBM).
  • Proficient in Microsoft Office Suite, including Word, Outlook, and Excel.

Preferred:

  • Licensure in CA, OR, WA, or AZ, or willingness to obtain.
  • Experience in clinical coverage review and utilization management.
  • Exceptional communication and facilitation skills.
  • Strong analytical skills for data interpretation.
  • Innovative problem-solving abilities.
  • Excellent presentation skills for diverse audiences.

Work Environment:

This position offers the flexibility to work remotely from anywhere within the U.S., providing an opportunity to tackle challenging issues in a supportive environment.

Compensation and Benefits:

UnitedHealth Group offers a competitive salary and a comprehensive benefits package, including incentive programs, stock purchase options, and 401k contributions, all subject to eligibility requirements.

Diversity and Inclusion:

At UnitedHealth Group, we are committed to creating a diverse workforce that reflects the communities we serve. We are an Equal Employment Opportunity/Affirmative Action employer, ensuring that all qualified applicants 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.

Drug-Free Workplace:

UnitedHealth Group maintains a drug-free workplace. Candidates must pass a drug test prior to employment.

  • Chief Medical Officer

    1 week ago

    Los Angeles, California, United States PIH Health Full time

    About the RolePIH Health Good Samaritan Hospital is seeking a visionary and collaborative physician leader to serve as its next Chief Medical Officer (CMO). This role offers a unique opportunity to join a progressive organization dedicated to delivering excellent patient care and driving positive change in the healthcare landscape.Key ResponsibilitiesSteer...

  • Chief Medical Officer

    2 weeks ago

    Los Angeles, California, United States PIH Health, Inc. Full time

    About the RolePIH Health, Inc. is seeking a visionary and collaborative physician leader to serve as its next Chief Medical Officer (CMO). This role offers a distinguished physician executive the chance to join a progressive organization known for its dedication to excellent patient care and vibrant, inclusive community.As a key member of the leadership...

  • Chief Neurology Officer

    4 weeks ago

    Los Angeles, California, United States Medical Center Full time

    Position OverviewWe are in search of an accomplished and forward-thinking Chief Neurology Officer (MD) to guide our exceptional team of neurologists and define the strategic vision of our organization. In this pivotal role, you will be instrumental in promoting clinical excellence, encouraging innovation, and enhancing our neurology offerings. Additionally,...

  • Chief Security Officer

    4 weeks ago

    Los Angeles, California, United States AIDS Healthcare Foundation Full time

    ABOUT US:DEDICATED PROFESSIONALS WORKING FOR A POSITIVE IMPACT at AIDS Healthcare FoundationAre you motivated by the prospect of making a meaningful difference in people's lives while receiving competitive compensation? Do you seek to be part of an organization that fosters growth and success for all its employees?If so, AIDS Healthcare Foundation is the...

  • Chief Operations Officer

    6 days ago

    Los Angeles, California, United States Jobot Full time

    Chief Operations Officer - Behavioral Medical PracticeThis is an exciting opportunity for a seasoned healthcare operations professional to make a significant impact on our growing practice. As a Chief Operations Officer, you will oversee the daily operations of our medical practice, ensuring that all aspects of our services are running smoothly and...

  • Chief Financial Officer

    4 days ago

    Los Angeles, California, United States CHA Hollywood Presbyterian Medical Center Full time

    Job SummaryCHA Hollywood Presbyterian Medical Center seeks a highly skilled and experienced Chief Financial Officer to lead its financial services and drive financial viability and investment grade rating. The ideal candidate will have a strong background in finance, accounting, and leadership, with a proven track record of success in a similar role.Key...

  • Chief Compliance Officer

    2 days ago

    Los Angeles, California, United States Los Angeles USD Full time

    Job Title: Chief Compliance OfficerJob Summary:The Los Angeles Unified School District is seeking a seasoned professional to serve as its Chief Compliance Officer. This key role will be responsible for developing, implementing, and evaluating various compliance and regulatory functions and programs across multiple District departments.About the Role:The...

  • Chief Communications Officer

    1 day ago

    Los Angeles, California, United States Carrollton-Farmers Branch ISD Full time

    Job Title: Chief Communications OfficerCarrollton-Farmers Branch ISD is seeking a highly skilled and experienced Chief Communications Officer to lead our district's communication efforts.Job Summary:The Chief Communications Officer will be responsible for developing and implementing a comprehensive communication strategy that promotes a positive image of the...

  • Chief Operations Officer

    4 weeks ago

    Los Angeles, California, United States The Ladders Full time

    THE LADDERSCHIEF OPERATIONS OFFICERAre you a seasoned executive with a knack for innovation, diplomacy, and organization? Do you thrive in dynamic environments, possess a great sense of humor, and connect well with diverse individuals? The Ladders is on the lookout for a forward-thinking, process-driven Chief Operations Officer to become a vital part of our...

  • Chief Financial Officer

    2 weeks ago

    Los Angeles, California, United States Westlake Services, LLC Full time

    {"h1": "Chief Financial Officer", "h2": "Job Summary", "p": "We are seeking a highly skilled and experienced Chief Financial Officer to join our team at Westlake Services, LLC. The successful candidate will be responsible for leading our financial strategy, managing financial controls, and ensuring transparency over our financial performance.", "h2": "Key...

  • Chief Development Officer

    2 days ago

    Los Angeles, California, United States Children's Bureau Full time

    Chief Development OfficerJoin All For Kids, a renowned non-profit organization, as we seek a highly skilled Chief Development Officer to lead our philanthropic efforts. As a key member of our executive leadership team, you will be responsible for driving fundraising initiatives, building relationships with donors, and developing a culture of philanthropy...

  • Chief Financial Officer

    4 weeks ago

    Los Angeles, California, United States Century Group Full time

    Chief Financial OfficerCentury Group is in search of a seasoned and innovative Chief Financial Officer to lead their financial operations. The compensation package is competitive, reflecting the skills and experience of the candidate.Key Responsibilities:Deliver strategic guidance and leadership on operational and financial matters impacting the...

  • Chief Medical Officer

    2 weeks ago

    Los Angeles, California, United States PIH Health Hospital Full time

    About the RoleWe are seeking a visionary and collaborative physician leader to serve as our next Chief Medical Officer (CMO) at PIH Health Good Samaritan Hospital in Los Angeles, CA.Key ResponsibilitiesSteer the organization towards achieving its mission and upholding its core values, leadership model, and customer service philosophy.Develop and implement...

  • Chief Development Officer

    5 days ago

    Los Angeles, California, United States Baby2baby Events Full time

    About Baby2Baby EventsBaby2Baby Events is a national non-profit organization dedicated to providing essential items to low-income families. We are seeking a highly skilled and experienced Chief Development Officer to join our team.Job SummaryWe are looking for a dynamic and results-driven Chief Development Officer to lead our development efforts and drive...

  • Chief Operating Officer

    1 day ago

    Los Angeles, California, United States California State Association of Counties Full time

    Chief Operating OfficerThe Chief Operating Officer will oversee the administrative functions, activities, services, and staff for the County of Santa Clara Health System. This role will develop and manage strategic plans, implement high standards of service excellence, and enhance patient outcomes.Key Responsibilities:Develop and manage strategic plans to...

  • Chief Development Officer

    7 days ago

    Los Angeles, California, United States All For Kids Full time

    Chief Development OfficerThe All For Kids organization is seeking a seasoned Chief Development Officer to lead its philanthropic efforts and drive growth. As a key member of the Executive Leadership Team, this individual will be responsible for developing and implementing a comprehensive fundraising strategy to support the organization's mission.Key...

  • Chief Executive Officer's Administrative Coordinator

    3 weeks ago

    Los Angeles, California, United States Los Angeles Christian Health Centers Full time

    Job OverviewAPPLICATION REQUIREMENTS:(1). Resume(2). Cover Letter - please summarize your relevant experience and interest in this role in 200 words or less.ORGANIZATION SUMMARY:Los Angeles Christian Health Centers is a non-profit, faith-driven, Federally Qualified Health Center dedicated to serving the most impoverished communities in Los Angeles for over...

  • Chief Financial Officer

    1 week ago

    Los Angeles, California, United States Keck Medical Center of USC Full time

    Job SummaryWe are seeking a highly experienced and skilled Chief Financial Officer to join our team at Keck Medical Center of USC. The successful candidate will be responsible for leading the finance functions of the medical center, including financial reporting, operating and capital budgeting, audits and internal controls, cash flow management and...

  • Chief Financial Officer

    4 weeks ago

    Los Angeles, California, United States Ohara Davies-Gaetano Interiors Full time

    Chief Financial Officer Position at Ohara Davies Gaetano InteriorsThe Chief Financial Officer role at Ohara Davies Gaetano Interiors is a pivotal position within the Operations division, necessitating a professional with a robust combination of operational and financial acumen. We are in search of an individual who exemplifies leadership qualities, possesses...

  • Chief Financial Officer

    3 days ago

    Los Angeles, California, United States Preston Harris Group Full time

    Job Title: Chief Financial OfficerWe are seeking a highly skilled and experienced Chief Financial Officer to join our team at Preston Harris Group.The successful candidate will be responsible for leading our finance function, providing strategic financial guidance, and ensuring the company's financial stability and growth.Key Responsibilities:Lead and mentor...