Medical Director of Medical Management - Telecommute

Cypress, CA


Primary Responsibilities:

  • Make clinical decisions related to the provisions of care
  • Research / analyze clinical or other data / information (e.g., medical records, claims data, authorization data, appeals data)
  • Read / interpret medical / clinical literature and apply understanding of research study design and quality of clinical evidence
  • Review / interpret policies, accreditation standards, regulations, etc. related to medical / clinical topics
  • Consider internal and external reviews (e.g., regulatory audits, litigation, market conduct exam outcomes, third party reviews) in making and documenting determinations
  • Make decisions regarding application of medical policies, programs, organizations, and clinical guidelines
  • Manage, Influence, and Deliver Communication of Clinical Decisions to client, employer, physicians, and healthcare providers
  • Develop and Implement Initiatives requiring clinical expertise
  • Assess and manage clinical operational capability in Medical Management
  • Educate others on clinical, operational topics and programs

Required Qualifications:

  • MD or DO degree
  • Active, unrestricted physician state license
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Colorado Residents Only: The salary range for Colorado residents is $254,600 to $295,200. The range and pay mix of base and bonus is variable based upon experience and metric achievement. 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 June 5, 2021