New Orleans, LA Candidates need to be able to work in the City or State specified – Telecommute
Title: Medical Director – UHC Comm. Plan of LA
Contest Number: 803364
Family: Medical and Clinical Operations
Function: Clinical Analysis & Consulting
Business Segment: Community and State
Region: North America
Country: United States
City: New Orleans
Employee Status: Regular
Shift: Day Job
Overtime Status: Exempt
Telecommuter Position: Yes
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.
If you are located in New Orleans, LA, you will have the flexibility to telecommute* as you take on some tough challenges.
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 through affordability projects at the local plan.
Ensure that 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 role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.
MD or DO degree
Active, unrestricted physician state license-Louisiana
Current board certification in ABMS or AOA Pediatrics specialty
5+ years of clinical practice experience post residency
Strong understanding of and concurrence with evidence-based medicine (EBM) and managed care principles
Hands-on utilization and/or quality management experience
Project management or active project participation experience
Experience in using electronic clinical systems is a plus
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)
*All Telecommuters will be required to adhere to UnitedHealth Group s Telecommuter Policy.
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.
Medical & Health , Doctor & Practitioner , Project Management
New Orleans, LA Candidates need to be able to work in the City or State specified