Medical Director Oncology - Utilization Management - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Medical Director Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes.

You will enjoy the flexibility to work remotely from anywhere within the U.S.

• 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; discuss evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact health care expense.
• Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serve 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.

• 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 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.

• Experience in managed care and quality management.

All employees working remotely will be required to adhere to United Health Group's Telecommuter Policy.

The salary range for this role is $238,000 to $357,500 annually based on full‑time employment. The actual range and pay mix of base and bonus is variable based on experience and metric achievement. In addition to salary, United Health Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.

United Health Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Candidates are required to pass a drug test before beginning employment.