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Remote Medical Director — Orthopedic Spine Surgery Claims

northern, KY

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Job description

UnitedHealth Group (Optum) is seeking a Medical Director to lead the Focus Claims Review program, overseeing medical services, provider discussions, and policy development for all medical programs and services.

The role requires clear responsibility for ensuring quality, compliance, and coordination with payers, regulators, and consulting physicians, with a strong emphasis on clinical criteria and medical necessity decisions.

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