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Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

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Med Dir Per Diem-UHC Comm. Plan of NC

UHG - Greensboro, North Carolina

Posted: 11/12/2018

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 quality and promote evidence-based medicine

  • Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement

  • Support initiatives that enhance quality throughout our national network

  • Ensure the right service is provided at the right time for each member

  • Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider 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

  • Leader in developing clinical program for Medicaid and DSNP populations in NC

  • Represents UHC externally in healthcare/provider meetings, various association/organization meetings, State and other constituent meetings/presentations

  • Engaged in developing innovative health models that achieve improved health outcomes


Required Qualifications:

 

  • MD or DO degree

  • Active, unrestricted physician state license

  • Current board certification in ABMS or AOA specialty

  • 5+ years of clinical practice experience post residency

  • Strong understanding of and concurrence with evidence-based medicine (EBM) and managed care principles

Preferred Qualifications:

 

  • Hands-on utilization and/or quality management experience
  • Project management or active project participation experience

  • Substantial experience in using electronic clinical systems 

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)

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

 


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. 

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

 

 

Job Keywords: clinical, medical review, physician, ABMS, AOA, EBM, managed care, Greensboro, NC, North Carolina

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