Medical Director Clinical Advocacy and Support Telecommute
Company: UnitedHealth Group
Location: Chandler
Posted on: February 22, 2021
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Job Description:
Medical Director Clinical Advocacy and Support Telecommute
Compassion. It's the starting point for health care providers like
you and it's what drives us every day as we put our exceptional
skills together with a real feeling of caring for others. This is a
place where your impact goes beyond providing care one patient at a
time. Because here, every day, you're also providing leadership and
contributing in ways that can affect millions for years to come.
Ready for a new path? Learn more, and start doing your life's best
work. SM Clinical Advocacy & Support has an unrelenting focus on
the customer journey and ensuring we exceed expectations as we
deliver clinical coverage and medical claims reviews. Our role is
to empower providers and members with the tools and information
needed to improve health outcomes, reduce variation in care,
deliver seamless experience, and manage health care costs.The
Medical Director provides physician support to Enterprise Clinical
Services operations, the organization responsible for the initial
clinical review of service requests for Enterprise Clinical
Services. The Medical Director collaborates with Enterprise
Clinical Services leadership and staff to establish, implement,
support and maintain clinical and operational processes related to
benefit coverage determinations, quality improvement and cost
effectiveness of service for members. The Medical Director's
activities primarily focus on the application of clinical knowledge
in various utilization management activities with a focus on
pre-service benefit and coverage determination or medical necessity
(according to the benefit package), and on communication regarding
this process with both network and non-network physicians, as well
as other Enterprise Clinical Services.The Medical Director
collaborates with a multidisciplinary team and is actively involved
in the management of medical benefits. The collaboration often
involves the member's primary care provider or specialist
physician. It is the primary responsibility of the medical director
to ensure that the appropriate and most cost effective quality
medical care is provided to members. Primary Responsibilities:
Required Qualifications:
Business Segment Enterprise Clinical Services Our team members help
close the gap in health care. Take a closer look and see how Lisa
helps members navigate a complex health care system. We're
committed to diversity and inclusion in everything we do. It's
ultimately what helps us understand a variety of perspectives and
provide quality care to our diverse member population. If you're
interested in working for an organization that val--- A Nursing
career at UnitedHealth Group can be challenging, yet very rewarding
at the same time. Our Registered Nurses and Nurse Practitioners are
caregivers through and through. At UnitedHealth Group, they work in
a fast-paced environment directly wi--- At UnitedHealth Group we
utilize many avenues to find the right candidates to fill open
positions. One of which, involves asking our current employees to
refer the people they know that would be a good fit for the
company. Our employees have great in--- UnitedHealth Group is
committed to working with and providing reasonable accommodations
to individuals with physical and mental disabilities. If you need
special assistance or accommodation for any part of the application
process, please call 1-800-561-0861 and press or say 1 for
Applicant to be connected to Recruitment Services. Recruitment
Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through
Friday. UnitedHealth Group is a registered service mark of
UnitedHealth Group, Inc. The UnitedHealth Group name with the
dimensional logo, as well as the dimensional logo alone, are both
service marks for the UnitedHealth Group, Inc. 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.
Keywords: UnitedHealth Group, Chandler , Medical Director Clinical Advocacy and Support Telecommute, Executive , Chandler, Arizona
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