Responsible, in part, as a member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services provided through OrthoNet. Performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company.
""The Medical Director will participate in the monitoring of patient care progress, treating physician medical decision making in the context of utilization management and provider appeals
""The Medical Director also provides/assists in the direction and oversight in the development and implementation of Policies, procedures and clinical criteria for all medical programs and services. S/he may serve as a liaison between OrthoNet, physicians, and other medical service providers in selected situations.
""""Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges
""""Primary Responsibilities:
""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:
""Preferred Qualifications:
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"Transforming health care and millions of lives starts with the values you embrace and the passion you bring. Find out more and join us. It's an opportunity to do your life's best work.(sm)
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Colorado Residents Only: The salary/hourly range for Colorado residents is $254,600to $295,200(add additional reference for sales and physicians). Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
""""*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.
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"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.
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"UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Neurosurgery Spine, Medical Director, Telecommute, Surgery, Surgeon, Managed Care
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
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