Medical Director Oncology - Utilization Management - Remote anywhere in US

Primary Responsibilities

• Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes
• Serve as a subject matter expert in evidence-based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence
• Engage and 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 healthcare expense
• Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies and stakeholders
• Evaluate clinical and other data (e.g., quality metrics, claims and 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 and clinical and quality initiatives to enhance Optum impact in the oncology field

Required Qualifications

• MD or DO with an active, unrestricted medical license
• Obtain additional licenses as needed
• Current Board Certification in an ABMS or AOBMS specialty in Oncology
• 5+ years of clinical practice experience (inclusive of Medical Oncology)
• Experience working with NCCN guidelines
• Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, case management, disease management, quality management, product development, and/or peer review
• Participate in rotational holiday and call coverage

Preferred Qualification

• Experience in managed care and quality management

Benefits

The salary range for this role is $238,000 to $357,500 annually based on full-time employment. 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.

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.