Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Healthy First Steps Medical Directors (HFS MDs) team is within the Women's Health Team at Enterprise Clinical Services. The Per Diem HFS Medical Director works together with our HFS operations team to provide clinical expertise and review data trends in the markets we manage. The position drives performance across our organization by communicating with hospital physicians and utilization management staff at client hospitals to champion best practices for evidence-based care. HFS MDs work closely with HFS nurses reviewing clinical information provided, communicating with providers as they progress in care, providing utilization management (UM) reviews, and facilitate discharge planning. The HFS MD will join a group of obstetricians at HFS where teamwork, communication, and ongoing education are valued.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Engage with a team of obstetricians and HFS nurses in the evaluation of the high-risk maternity patient
• Per-dem position requiring weekend-only availability (remote)
• Participate in nursing education as it relates to obstetrics
• Conduct provider telephonic review and discussion, schedules on-site visits and shares tools, information and guidelines related to cost-effective health care delivery and quality of care
• Support all clinical quality initiatives and peer review processes
• Appropriate utilization management
• Clinical lead for healthcare affordability initiatives at the local market
• Effectively engage and bring understanding to our external constituents such as physicians, medical and specialty societies, hospitals and hospital associations, and state regulators
• Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities
• Identifying opportunities through participation in local medical expense committees or market reviews
• Participate in data analysis reviewing market trends with the Product team and health plans
• Engage with clients reporting trends in individual markets
• Engage with Neonatology colleagues in Women's Health

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.

Required Qualifications:

• MD or DO with an active, unrestricted license
• Board Certified in Obstetrics/Gynecology
• 5+ years clinical practice experience after completing residency training
• Experience in utilization and clinical coverage review
• Solid understanding of Evidence based Medicine (EBM)
• Solid PC skills, specifically using MS Word, Outlook and Excel
• Proven excellent oral, written and interpersonal communication skills, facilitation skills
• Proven excellent presentation skills for both clinical and non-clinical audiences
• Ability to work weekend schedule and occasional holiday backup coverage

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Compensation for this specialty generally ranges from $119.47 - $179.33 per hour. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.