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Remote Medical Director Orthopedic Surgery & Claims

northern, KY

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Job description

UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review program, ensuring overall quality, effectiveness and coordination of medical services. The role emphasizes collaboration with physicians and other providers, and includes telephonic case discussions and policy development oversight.

You will work remotely from anywhere in the U.S. and help drive compliance with URAC, NCQA, CMS and related standards while shaping medical criteria and provider interactions.

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