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  • $15
    est. per hour
    Sunrise Senior Living 24h ago
    Just postedUrgently hiring11.2 mi Use left and right arrow keys to navigate
Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location New York, NY
New York, New York

About this job

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm)
UnitedHealthcare Clinical Services (UCS) conducts medical management activities for commercial and government business.. The majority of these activities are concentrated in inpatient review and appropriate inpatient utilization, although depending upon location and products covered, functions such as pre-certification and other traditional utilization management activities may be performed. The UCS medical director is part of a national organization and team, and will collaborate with UCS peers, market medical directors and others from across the country. In response to customer need and expectation, UnitedHealthcare is continuously modifying its programs and approaches. Although not a primary job function, medical directors with the interest in doing so often have the opportunity to be involved with change design and management.

?UnitedHealthcare?s care management approach is data driven, and grounded in the use and application of evidence based medicine (EBM) and guidelines. The successful UCS medical director appreciates and understands data, is a champion of and is very conversant with evidence-based medicine, and uses nationally recognized clinical guidelines to teach and direct clinical staff, as well as engage the practicing community in discussions designed to result in individual patients receiving the right care, in the right place, at the right time.

Requirements

Skills and experience required
· 10+ years post residency clinical practice experience Required
· Unrestricted medical licensed physician Required
· Board Certified in ABMS/ABOMS specialty Required
· Strong knowledge of managed care industry.
· Supervisory skills including clinical mentoring and coaching skills.
· Data analysis and interpretation skills. Ability to focus on key metrics.
· Ability to develop relationships with network and community physicians and other providers. Comfort with visibility and involvement in medical community.
· Excellent telephonic communication skills; excellent interpersonal communication skills.
· Excellent project management skills.
· Excellent presentation skills for both clinical and non clinical audiences.
· Familiarity with current medical issues and practices.
· Creative problem solving skills.
· Strong team player and team building skills.
• Comfortable with change, and able to lead others through it
• Is a champion of EBM, and in particular of MCG which currently are the company's primary review guidelines.
• Through use and/or analysis of available data (e.g., APR/DRG), identifies more global opportunities for intervention that may 1) better focus available review resources and activities, and/or 2) change practice or hospital habit.
• Develops clinical strategy, identifying areas of clinical focus, developing initiatives to improve appropriate inpatient utilization and other functions and representing same to senior management.