Inpatient Care Management Medical Director - Telecommute

Houston, TX

full-time
Inpatient

Primary Responsibilities:

  • Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence – based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Is grounded in the use and application of evidence based medicine (EBM) such as the Milliman Care Guidelines
  • Chair periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
  • Maintain proficiency in all required software and platforms

Required Qualifications:

  • MD or DO with an active, unrestricted medical license
  • Current Board Certification in Orthopedic Surgery
  • 5+ years clinical practice experience
  • Technical proficiency in computer software and systems

Preferred Qualifications:

  • Texas license
  • 2+ years managed care, Quality Management experience and/or administrative leadership experience
  • UM experience
  • Clinical experience within the past 2 years
  • Preference to reside in the Central, Mountain, or Pacific times zones

Colorado Residents Only: The salary range for Colorado residents is $254,600 to $295,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.


Posted November 30, 2021