UnitedHealth Group
Clinical Advocacy and Support - Medical Director, CCR - Remote
This job is now closed
Job Description
- Req#: 2223147
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $397,743
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Comprehensive benefits package, incentive and recognition programs
- Equity stock purchase and 401k contribution
- Clear direction on what it takes to succeed in your role and development for other roles
What to Expect (Job Responsibilities):
- Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations
- Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements
- Engage with requesting providers as needed in peer-to-peer discussions
- Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews
- Participate in daily clinical rounds as requested
What is Required (Qualifications):
- M.D, D.O., or M.B.B.S
- Board certification approved by the American Board of Medical Specialties (ABMS)
- Active unrestricted license to practice medicine in either Texas, North Carolina, or Arizona
- 5+ years of clinical practice experience after completing residency training
- Sound understanding of Evidence Based Medicine (EBM)
- Solid PC skills, specifically using MS Word, Outlook, and Excel
How to Stand Out (Preferred Qualifications):
- Experience in utilization and clinical coverage review
- Proven excellent oral, written, and interpersonal communication skills, facilitation skills
- Proven data analysis and interpretation aptitude
- Proven innovative problem-solving skills
- Proven excellent presentation skills for both clinical and non-clinical audiences
#HealthcareServices #ClinicalAdvocacy #MedicalDirector #RemoteWork #CareerGrowth
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.