Orthopedic Spine Surgery, Medical Director - Work from home
Cincinnati, Hamilton County, Ohio, 45208, USA
Listed on 2026-10-05
-
Doctor/Physician
Surgeon, Orthopaedic Surgeon
Optum | A culture of Caring. Connecting. Growing together.
Optum is hiring an Orthopedic Spine Surgeon to be a part of the Focus Claims Review team
. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of coding and procedures.
- Reviews surgical & spinal claims for correct coding using clinical record
- Conduct coverage reviews based on individual member plan benefits
- Collaborate with treating providers via peer-to-peer telephonic outreach
- Apply evidence-based guidelines (e.g., Inter Qual) to support care decisions
- Partner with internal teams on clinical and quality initiatives
- MD or DO degree
- Board certification in Orthopedic Surgery
- Active, unrestricted medical license in any U.S. state
- Minimum of 5 years of clinical practice experience post residency in Orthopedic surgery (preferably spine)
- Remote Flexibility:
Work from anywhere in the U.S. - Consistent
Schedule:
Weekdays Monday - Friday (flexible 8 hr. shifts; no weekends) - Strong Support:
Comprehensive onboarding, training & ongoing guidance - Purpose-Driven Team:
Join a national network committed to better health outcomes
The salary range is $248,000-$373,000, which includes base pay and bonus. Total compensation is influenced by several factors. Eligibility for benefits varies by role and tenure.
In addition to salary, we offer a comprehensive benefits package that may include:
- Incentive and recognition programs
- Equity stock purchase options
- 401(k) contributions
- Health, wellness, and insurance benefits
Optum is a drug-free workplace
. Candidates must pass a drug test before beginning employment.
Optum is committed to delivering equitable care and improving health outcomes for all. We are proud to be an Equal Employment Opportunity employer
.
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