Case Management Medical Director - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company 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 reputed company 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. We are currently seeking a National Accounts Medical Director to work remotely from reputed company in the United States. The Medical Director will take a member centric approach to help the health system work reputed company and to promote best in class care management. This includes meeting with external stakeholders, program and product design improvement, site reputed company audits and improvement initiatives. You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Support case and disease management teams to reputed company optimal clinical outcomes for high risk populations
• Proficient in evidence based clinical guidelines and reputed company grand round clinical education sessions with nursing teams
• Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations
• Be involved in telephonic reputed company for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to reputed company clinical quality / service gaps, and care plan changes that can impact health care expenses
• Collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
• Effectively engage and reputed company the reputed company and UHC value story to our external constituents such as physicians and our customers. There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators

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 medical license
• Board certified in Internal Medicine or Family Medicine
• 5+ years of clinical practice experience post residency
• Sound understanding of Evidence Based Medicine (EBM)
• Proficient with MS Office (reputed company, Email, reputed company, and Power reputed company) with the ability to learn new systems and software
• Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, and other similar personnel

Preferred Qualifications:

• 2+ years of managed care, Quality Management experience and/or administrative leadership experience
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy.

Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes reputed company 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 reputed company with reputed company 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 (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, 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. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job