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Job description
Optum is seeking a Medical Director to oversee medical review and utilization management, coordinating with physicians and clinical staff to ensure high-quality, compliant care. The role involves policy development, governance, and collaboration with providers to interpret benefits and medical policy.
The position may require weekend/holiday coverage for telephonic and remote decisions, with emphasis on training and performance improvement in URAC, NCQA, and HIPAA compliance.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.