Talent.com
serp_jobs.error_messages.no_longer_accepting
Utilization Management Medical Director, Clinical Performance - California license - Remote

Utilization Management Medical Director, Clinical Performance - California license - Remote

OptumEl Segundo, CA, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Looking for a chance to drive measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 4 industry leader.

We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible for conducting hospital and post-acute utilization reviews for the state of California. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization.

Youll enjoy the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities :

  • Work to improve quality and promote evidence-based medicine
  • Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement
  • Support initiatives that enhance quality throughout our national network
  • Ensure the right service is provided at the right time for each member
  • Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
  • Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.

    Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications :

  • MD or DO degree
  • Active, unrestricted California state license
  • Current board certification in ABMS or AOA specialty
  • 5+ years of clinical practice experience post residency
  • Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles
  • Preferred Qualifications :

  • Hands-on utilization and / or quality management experience
  • Project management or active project participation experience
  • Substantial experience in using electronic clinical systems
  • All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
  • Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, youll find a far-reaching choice of benefits and incentives.

    Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth 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.

    UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

    Required

    Preferred

    Job Industries

  • Healthcare
  • serp_jobs.job_alerts.create_a_job

    Director Utilization Management • El Segundo, CA, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Associate Medical Director

    Associate Medical Director

    University of California - Los Angeles HealthLos Angeles, CA, United States
    serp_jobs.job_card.full_time
    Are you passionate about evidence-based medicine and improving care for Medicare Advantage members? UCLA Health Medicare Advantage Plan is looking for a dedicated and forward-thinking Associate Med...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Director- Los Angeles, California- PACE program M-F 8-5

    Medical Director- Los Angeles, California- PACE program M-F 8-5

    Jackson Physician SearchLos Angeles, US
    serp_jobs.job_card.full_time
    Join a mission-aligned healthcare team to improve adult and senior pt.Following the PACE model, lead a team to provide seamless primary care and customized services in Los Angeles.Lead a team of 5 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Director

    Medical Director

    Ohana Pet Hospital of Agoura HillsAgoura Hills, CA, US
    serp_jobs.job_card.full_time
    Ohana Pet Hospital is searching for experienced veterinarian to lead our team as Medical Director.We have four locations in Ventura, Agoura Hills and Santa Paula. with this role focusing on our Ago...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician / Oncology / California / Permanent / Associate Medical Director - Oncology - 100% Remote

    Physician / Oncology / California / Permanent / Associate Medical Director - Oncology - 100% Remote

    eviCore healthcareLos Angeles, CA, US
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time
    Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United Sta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Clinical Outreach, Los Angeles

    Director, Clinical Outreach, Los Angeles

    Guidelight HealthLos Angeles, CA, US
    serp_jobs.job_card.full_time
    Director, Clinical Outreach, Los Angeles.Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives through high-quality PHP (Partial Hospitalization Program)...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Director - Addiction Medicine & Mental Health Services

    Medical Director - Addiction Medicine & Mental Health Services

    Hoag Health SystemNewport Beach, CA, US
    serp_jobs.job_card.full_time
    Hoag Health, the top-ranked health system in Orange County, CA is seeking a Medical Director to lead our Addiction Medicine and Mental Health Services program in Newport Beach, CA! Hoag is a renown...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorizati

    Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorizati

    Integrity Healthcare...Northridge, CA, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    While the work is primarily remote, candidates.Review and approve prior authorization requests using clinical guidelines. Collaborate with nurses, physicians, and provider groups to support cost-eff...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director, Medical Strategy

    Director, Medical Strategy

    Syneos HealthSanta Monica, CA, United States
    serp_jobs.job_card.full_time
    Santa Monica, CA, United States.Can you reach people with just a few words? You express all of your ideas effortlessly, and have the skills to distill other people's ideas into their best possible ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Director (MD) • •PRN • • •

    Medical Director (MD) • •PRN • • •

    Altea HealthcareMontebello, CA, United States
    serp_jobs.job_card.full_time +1
    Join our team and be part of a.Pulmonologist experience preferred • • •.Apply today to learn more about this rewarding opportunity!. Competitive compensation with balanced hours.NP / PA support at all lo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Physician / Infectious Disease / California / Permanent / Medical Director Job

    Physician / Infectious Disease / California / Permanent / Medical Director Job

    Samuel Contract Staffing LLCLos Angeles, CA, US
    serp_jobs.job_card.full_time
    Does the idea of doing something that really makes a difference in peoples lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Director - Movement Disorders

    Medical Director - Movement Disorders

    Hoag Health SystemNewport Beach, CA, United States
    serp_jobs.job_card.full_time
    The Medical Director is pivotal in steering the Hoag Movement Disorders Program, dedicated to elevating care standards and community service. As a Hoag medical staff member, the role will span from ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Appeals Medical Director - Oncology Required - Remote

    Appeals Medical Director - Oncology Required - Remote

    UnitedHealth GroupCypress, CA, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director of Case Management - Utilization Management

    Director of Case Management - Utilization Management

    Prime HealthcareInglewood, CA, US
    serp_jobs.job_card.full_time +1
    Centinela Hospital Medical Center.At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community.As a member of Pri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Associate Medical Director Needed! - $312,000! Metro Los Angeles

    Associate Medical Director Needed! - $312,000! Metro Los Angeles

    Adaptive Medical PartnersLos Angeles, CA, US
    serp_jobs.job_card.full_time
    Dynamic Leader needed for Multi-Site Healthcare Organization with 20+ ProvidersLeave Your Legacy on an Established Organization as we Grow. Blended Role : We are seeking an Involved Director Interest...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Director

    Medical Director

    California Physician OpportunitiesLos Angeles, California, US
    serp_jobs.job_card.full_time
    Medical Director physician job in California : .So CalCommunity Health System,.Clinics located throughout SouthernCalifornia. Candidates will provide oversight and medical expertise inimplementing th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director, Patient Safety & Clinical Risk Management

    Director, Patient Safety & Clinical Risk Management

    VeracityDowney, CA, US
    serp_jobs.job_card.full_time
    Director, Patient Safety & Clinical Risk Management.Onsite Onsite due to rounding at acute hospital Downey, CA In addition to the responsibilities listed below, this position is also responsible fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Maryland Licensed Medical Director

    Maryland Licensed Medical Director

    VirtualVocationsHuntington Beach, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Health Plan Medical Director Physician.Key Responsibilities Participate in the development and execution of case management, disease management, and population health m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Medical Director

    Medical Director

    KPG Provider ServicesPanorama City, California, US
    serp_jobs.job_card.full_time
    Medical Director physician employment in California : TBD .ElementsByTagName("script")[0]; first.Before(script, first);}. reb2b.Board Certified or Board Eligible Medical Doctor with or w / o ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Director - Radiation Oncology - Anywhere in US

    Medical Director - Radiation Oncology - Anywhere in US

    OptumLos Angeles, CA, United States
    serp_jobs.job_card.full_time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Medical Director, Patient Safety

    Licensed Medical Director, Patient Safety

    VirtualVocationsWhittier, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Director, Patient Safety.Key Responsibilities Respond to high-risk clinical events, providing real-time guidance to ensure safe resolutions Develop and impleme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days