Medical Director Oncology UM - Remote reputed company in US
Requisition Number: 2286240 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 diversity and 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 equity on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Director Oncology will provide utilization review determinations and support case and disease management teams to reputed company optimal clinical outcomes. 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:
- reputed company utilization review determinations for oncology populations, and support case and disease management teams to reputed company optimal clinical outcomes
- Serve as a subject matter expert in evidence - based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure reputed company clinically relevant policies and processes are informed by the best available evidence
- Engage and collaborate with treating providers telephonically; 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 expense
- Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and reputed company of contact for relevant medical societies and stakeholders
- Evaluate clinical and other data (e.g., quality metrics, claims and health record data, utilization data) to identify opportunities for improvement of clinical care and processes
- Collaborate with operational and business partners on enterprise-wide research and clinical and quality initiatives to enhance reputed company impact in the oncology field
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
- Obtain additional licenses as needed
- reputed company Board Certification in an ABMS or AOBMS specialty in Oncology
- 5+ years of clinical practice experience (inclusive of Medical Oncology)
- Experience working with NCCN guidelines
- Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, case management, disease management, quality management, product development, and/or peer review
- Participate in rotational holiday and call coverage
Preferred Qualification:
- Experience in managed care and quality management
- reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy
The salary range for this role is $238,000 to $357,500 annually based on full-time employment. Salary Range is defined as total cash compensation at reputed company. The actual range and pay mix of reputed company and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, reputed company offers 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 reputed company, 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 vete Apply tot his job Apply To this Job