UM Medical Director - Radiation Oncologist - Remote in US (New York)
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team 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 make 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.
The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient radiation oncology care for our clients. As such, this role requires an innovative, hands-on, action-oriented clinician. This position will serve as a member of the radiation oncology team dedicated to helping ensure high levels of quality, affordability, and member and provider satisfaction. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:- Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes
- Speak with providers by phone. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense
- Enhance clinical expertise of the radiation oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies & stakeholders
- Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations
- Evaluate clinical and other data (e.g., quality metrics, claims & 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, clinical and quality initiatives to enhance Optum impact in the Radiation oncology field
- This remote-work position will require the use of a company provided personal computer, internet access and familiarity with Microsoft Office applications
- Rotational weekend/ holiday on-call coverage as scheduled
- MD or DO with an active, unrestricted medical license
- Current board certification in Radiation Oncology
- 5+ years of clinical practice experience (inclusive of radiation oncology)
- Proficiency with Microsoft Office applications
- Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, case management, disease management, quality management, product development and/or peer review
- Proven ability to quickly gain credibility, influence and partner with staff and the clinical community
- Participate in rotational weekend/ holiday on-call coverage as scheduled
- Experience in managed care, quality management or administrative leadership
- Experience working with payer guidelines
- Experience in client-facing customer relationship management
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