Inpatient Care Management Medical Director - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our Inpatient Care Management Medical Director role focuses on conducting acute-level care and length of stay reviews for medical necessity for our members being managed within the continuum of care across local and national commercial employer, Medicare, and state Medicaid plans.

The Medical Director works with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional, or national level. This position is 100% remote; remote location must be within the U.S. Eligibility for telecommuter policy applies.

• Participate in telephonic outreach for collaboration with treating providers, discussing evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact health care expenses.
• Collaborate with operational and business partners on clinical and quality initiatives at site and customer level to address customer expectations.
• Apply evidence-based medicine, including Inter Qual care guidelines and criteria review.
• Participate in periodic market oversight meetings with Chief Medical Officers, network contractors, nurse management, and other internal managers.
• Provide rotational holiday and call coverage.
• Maintain proficiency in all required software and platforms.

• MD or DO with an active, unrestricted medical license.
• Current Board Certification in an ABMS or AOA specialty.
• 3+ years of clinical practice experience post residency.
• Technical proficiency in computer software and systems.
• Private home office and access to high-speed Internet.
• Participate in rotational holiday and call coverage.

• 2+ years of managed care, quality management experience and/or administrative leadership experience.
• UM experience.
• Clinical experience within the past 2 years.

Pay ranges from $248,500 to $440,500 annually, based on local labor markets, education, work experience, certifications, and other factors. In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility requirements). All benefits are available regardless of location and date of start.

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

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.

This role requires a U.S. work authorization. Candidates are required to pass a drug test before beginning employment. The drug-free workplace policy complies with United Health Group standards.