29 days old

Medical Director OptumRx Prior Authorization and Appeals Telecommute

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  • Job Code
    866904

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.


 Primary Responsibilities:

  • Work to improve patient care quality and promote evidence-based medicine
  • Support the OptumRx Prior Authorization and Appeals service by performing physician level drug utilization reviews and rendering clinical coverage determinations.
  • Consult with physician peer prescribers on patient medication needs and clinical appropriateness
  • Support initiatives that enhance quality throughout our prior authorization utilization management programs
  • Ensure the right service is provided at the right time for each member 
  • Work in a collaborative environment within a medical director team and other clinical professionals focusing on patient care medication management, clinical coverage review, and appeals clinical review

Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting. 


You'll 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.

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Posted: 2020-02-29 Expires: 2020-03-31

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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Medical Director OptumRx Prior Authorization and Appeals Telecommute

UnitedHealth Group

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