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Job description
Optum's Focus Claims Review team seeks a Medical Director to lead the claims review program, ensuring quality and coordination of medical services and serving as liaison among Optum, physicians, and providers. This role offers remote work from anywhere in the U.S., with opportunities to influence policy, training, and compliance across CMS, NCQA, URAC, and third-party payers.
Requires MD/DO, board certification ABMS/AOA in Orthopedic Surgery, 5+ years clinical experience, and MS Office
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.