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RXinsider LTD.

Remote Medical Director, Claims & Utilization Review

atlanta, GA

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Job description

UnitedHealth Group (Optum) is seeking a Medical Director to provide physician support to Enterprise Clinical Services, shaping clinical coverage determinations, quality improvement, and cost-effective care for members. You will collaborate with network and non-network physicians to ensure compliant, evidence-based decisions.

You will lead clinical rounds, communicate effectively, and drive patient-centered care while advancing operational policies in a large, multi-disciplinary team.

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Worksite address

atlanta, GA, 30383, US

Who can apply

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