Medical Director – Cardiologist – Remote based

Job Description

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 5 industry leader.

You’ll enjoy the flexibility to work remotely * from home as you take on some tough challenges.

Primary Responsibilities:
• 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 throughout our national network
• Ensure 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

Required Qualifications:
• MD or DO degree
• Active, unrestricted physician Texas state license
• Current board certification in ABMS or AOA specialty
• 5+ years of clinical practice experience post residency in Cardiology
• Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles