Medical Director Radiation Oncology Leader

4 weeks ago

Philadelphia, Pennsylvania, United States UnitedHealth Group Full time
Optum Radiation Oncology Medical Director

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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient radiation oncology care for our clients. As such, this role requires an innovative, hands-on, action-oriented clinician. This position will serve as a member of the radiation oncology team dedicated to helping ensure high levels of quality, affordability, and member and provider satisfaction.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Our team is dedicated to advancing health equity on a global scale, and we're looking for a talented clinician to join us in this mission.

Key Responsibilities:
  • Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes
  • Speak with providers by phone, discussing evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can 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 & stakeholders
  • Deliver the Optum clinical value proposition focused on quality, affordability, and service, in support of the sales and growth activities, including conducting client presentations and participating in customer consultations
  • 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
  • Collaborate with operational and business partners on enterprise-wide research, clinical, and quality initiatives to enhance Optum impact in the Radiation Oncology field
  • This remote-work position will require 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 the areas of 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
  • Participate 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

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