Optum ยท 4 hours ago
Medical Director - Post-Acute Care Internist or Physiatrist - Remote in US
United States
Full-time
Remote
Lead/Staff, Director/Executive
$248K/yr - $373K/yr
3+ years expOptum is a healthcare company focused on innovative health management strategies. The Medical Director will lead initiatives in post-acute care, partnering with teams and leaders to enhance healthcare delivery and coordinate care effectively.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Provide daily utilization oversight and external communication with network physicians and hospitals
Daily UM reviews - authorization and denial reviews
Conduct peer to peer conversations for clinical case reviews as needed
Conduct provider telephonic review and discussion, share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
Communicate effectively with providers to ensure the successful administering of Optum's services
Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers
Collaborate with Team to ensure a coordinated approach toward our member's health care
The development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals
Provide leadership and guidance to maximize cost management through close coordination with network and provider contracting
Regularly meet with Optum's leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues
Provide input on local needs for Analytics Team and Care Management Team to better enhance Optum's products and services
Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME
Perform other duties and responsibilities as required, assigned, or requested
Qualification
Required
Graduate of a recognized accredited medical school
Current, unrestricted medical license and residency in the United States
Board certified in a recognized ABMS specialty
Board Certified in Internal Medicine, Physiatry or Family Medicine with acute hospital experience
3+ years of experience practicing in an acute inpatient environment, where dealing with managed care organizations made up at least half of inpatient practice
Proven understanding of population-based medicine with preference given to significant experience with the Medicare, Medicaid, and Commercial populations
Proficient computer skills
Proven working knowledge of changing U.S. payer and provider landscape
Dedicated office/work area established that is separated from other living areas and provides privacy
Reside in a location that can receive a high-speed internet connection
Preferred
Demonstrated ability to work with others while completing multiple tasks simultaneously and successfully
Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision
Demonstrated ability to be highly motivated, flexible, and adaptable to working in a fast-paced, dynamic environment
Demonstrated ability to positively interact with other clinicians, senior management, and all levels of medical and non-medical professionals
Demonstrated ability to quickly adapt to change and drive innovation within team and market
Demonstrated ability to work across functions and businesses to achieve business goals
Demonstrated ability to develop and maintain positive customer and provider relationships
Proven solid interpersonal skills and necessary business acumen to communicate and build positive relationships with management
Proven high level of organizational skills, self-motivation, and ability to manage time independently
Proven excellent organizational, verbal, and written communication and presentation skills
Proven excellent analytic skills
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase