Medical Director Clinical Advocacy and Support- Telecommute
Company: UnitedHealth Group
Location: Roseville
Posted on: February 14, 2021
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Job Description:
Medical Director Clinical Advocacy and Support- Telecommute
Compassion. It's the starting point for health care providers like
you and it's what drives us every day as we put our exceptional
skills together with a real feeling of caring for others. This is a
place where your impact goes beyond providing care one patient at a
time. Because here, every day, you're also providing leadership and
contributing in ways that can affect millions for years to come.
Ready for a new path? Learn more, and start doing your life's best
work. SM 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 6 industry leader. Clinical Advocacy & Supporthas an
unrelenting focus on the customer journey and ensuring we exceed
expectations as we deliver clinical coverage and medical claims
reviews. Our role is to empower providers and members with the
tools and information needed to improve health outcomes, reduce
variation in care, deliver seamless experience, and manage health
care costs.-- The Medical Director provides physician support to
Enterprise Clinical Services operations, the organization
responsible for the initial clinical review of service requests for
Enterprise Clinical Services. The Medical Director collaborates
with Enterprise Clinical Services leadership and staff to
establish, implement, support and maintain clinical and operational
processes related to benefit coverage determinations, quality
improvement and cost effectiveness of service for members. The
Medical Director's activities primarily focus on the application of
clinical knowledge in various utilization management activities
with a focus on pre-service benefit and coverage determination or
medical necessity (according to the benefit package), and on
communication regarding this process with both network and
non-network physicians, as well as other Enterprise Clinical
Services. The Medical Director collaborates with a
multidisciplinary team and is actively involved in the management
of medical benefits. The collaboration often involves the member's
primary care provider or specialist physician. It is the primary
responsibility of the medical director to ensure that the
appropriate and most cost effective quality medical care is
provided to members. Primary Responsibilities:
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law. UnitedHealth Group is
a drug-free workplace. Candidates are required to pass a drug test
before beginning employment. Job Keywords: M.D., D.O., ABMS,
Telecommute-- Business Segment Enterprise Clinical Services Our
team members help close the gap in health care. Take a closer look
and see how Lisa helps members navigate a complex health care
system. We're committed to diversity and inclusion in everything we
do. It's ultimately what helps us understand a variety of
perspectives and provide quality care to our diverse member
population. If you're interested in working for an organization
that val--- A Nursing career at UnitedHealth Group can be
challenging, yet very rewarding at the same time. Our Registered
Nurses and Nurse Practitioners are caregivers through and through.
At UnitedHealth Group, they work in a fast-paced environment
directly wi--- At UnitedHealth Group we utilize many avenues to
find the right candidates to fill open positions. One of which,
involves asking our current employees to refer the people they know
that would be a good fit for the company. Our employees have great
in--- UnitedHealth Group is committed to working with and providing
reasonable accommodations to individuals with physical and mental
disabilities. If you need special assistance or accommodation for
any part of the application process, please call 1-800-561-0861 and
press or say 1 for Applicant to be connected to Recruitment
Services. Recruitment Services hours of operation are 7 a.m. to 7
p.m. CT, Monday through Friday. UnitedHealth Group is a registered
service mark of UnitedHealth Group, Inc. The UnitedHealth Group
name with the dimensional logo, as well as the dimensional logo
alone, are both service marks for the UnitedHealth Group, Inc.
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law. UnitedHealth Group is
a drug-free workplace. Candidates are required to pass a drug test
before beginning employment.
Keywords: UnitedHealth Group, Roseville , Medical Director Clinical Advocacy and Support- Telecommute, Executive , Roseville, California
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