Medical Director Oncology - Remote
Company: Optum
Location: Raleigh
Posted on: July 19, 2025
|
|
Job Description:
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 diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together . The Medical Director Oncology will
provide utilization review determinations and support case and
disease management teams to achieve optimal clinical outcomes.
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
oncology populations, and support case and disease management teams
to achieve optimal clinical outcomes Serve as a subject matter
expert in evidence - based oncology guidelines, especially those
produced by the National Comprehensive Cancer Network (NCCN), and
help ensure all clinically relevant policies and processes are
informed by the best available evidence Engage and collaborate with
treating providers telephonically; 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 Oncology team through
education sessions with nursing teams, and serving as a thought
leader and point of contact for relevant medical societies and
stakeholders Evaluate clinical and other data (e.g., quality
metrics, claims and 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 and clinical and quality initiatives to
enhance Optum impact in the oncology field You’ll be rewarded and
recognized for your performance in an environment that will
challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in. Required Qualifications: MD or DO with an
active, unrestricted medical license Obtain additional licenses as
needed Current Board Certification in an ABMS or AOBMS specialty in
Oncology 5 years of clinical practice experience (inclusive of
Medical Oncology) Experience working with NCCN guidelines
Demonstrated accomplishments in the areas of medical care delivery
systems, utilization management, case management, disease
management, quality management, product development, and/or peer
review Participate in rotational holiday and call coverage
Preferred Qualification: Experience in managed care and quality
management *All employees working remotely will be required to
adhere to UnitedHealth Group’s Telecommuter Policy The salary range
for this role is $238,000 to $357,500 annually based on full-time
employment. Salary Range is defined as total cash compensation at
target. The actual range and pay mix of base and bonus is variable
based upon experience and metric achievement. Pay is based on
several factors including but not limited to education, work
experience, certifications, etc. In addition to your salary,
UnitedHealth Group offers benefits such as, a comprehensive
benefits package, incentive and recognition programs, equity stock
purchase and 401k contribution (all benefits are subject to
eligibility requirements). No matter where or when you begin a
career with UnitedHealth Group, you’ll find a far-reaching choice
of benefits and incentives. Application Deadline: This will be
posted for a minimum of 2 business days or until a sufficient
candidate pool has been collected. Job posting may come down early
due to volume of applicants. At UnitedHealth Group, our mission is
to help people live healthier lives and make the health system work
better for everyone. We believe everyone–of every race, gender,
sexuality, age, location and income–deserves the opportunity to
live their healthiest life. Today, however, there are still far too
many barriers to good health which are disproportionately
experienced by people of color, historically marginalized groups
and those with lower incomes. We are committed to mitigating our
impact on the environment and enabling and delivering equitable
care that addresses health disparities and improves health outcomes
— an enterprise priority reflected in our mission. UnitedHealth
Group is an Equal Employment Opportunity employer under applicable
law and qualified applicants will receive consideration for
employment without regard to race, national origin, religion, age,
color, sex, sexual orientation, gender identity, disability, or
protected veteran status, or any other characteristic protected by
local, state, or federal laws, rules, or regulations. UnitedHealth
Group is a drug - free workplace. Candidates are required to pass a
drug test before beginning employment.
Keywords: Optum, Cary , Medical Director Oncology - Remote, Healthcare , Raleigh, North Carolina