Inpatient Care Management Medical Director East Region - Telecommute

Philadelphia, PA

full-time
Outpatient

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; based in the Eastern Standard Time zone
  • Current Board Certification in an ABMS or AOBMS specialty
  • 5+ years clinical practice experience
  • Excellent written and oral communication skills
  • Technical proficiency in computer software and systems
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders.


Posted June 17, 2021