Medical Director - Medical Assistance, Global Solutions

UnitedHealth Group - Houston, TX3.6

Full-time | Custom_1
This position is a senior level clinical role (reporting to the VP clinical strategy and Operations) that provides leadership in executing on the global clinical strategy that directly relates to business growth, process improvement, Quality assurance and customer satisfaction.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
Create and maintain positive relationships with key providers in the region(United States), intervening on UHCG and the members behalf when there is a conflict in the treatment plan
Solutioning of complex client issues related to our clinical and operational service delivery model, and work with cross functional teams to bring solutions and changes to the clinical and operational service delivery model in-line with client expectations
Review medical treatment plans and service requests from physicians and provide peer to peer reviews with physicians when treatment or quality does not met evidence based medicine standards
Act as a clinical operations subject matter expert to network and client management, product and clinical operations in the region.
Work to improve quality and promote evidence-based medicine

Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement

Support initiatives that enhance quality throughout our international network, support network management and clinical quality site assessment’s as needed

Ensure the right service is provided at the right time for each member

Ability to quickly asses and consult with international clients and their respective health care delivery systems and identify relevant UHCG products and services to potentially meet those needs
Be available to support emergency assistance needs of members in the region
Complete Clinical Site Surveys of select hospitals and physician practices to ensure quality and current healthcare intelligence
Represent UHCG products and services in a comprehensive and integrated value story both internally and externally
Communicate the value proposition of our clinical service delivery model to local clients, members and physicians in the region

Required Qualifications:
MD or DO degree
Active, unrestricted United States physician state license
5+ years of clinical practice experience
Board Certification
Strong understanding of and concurrence with evidence-based medicine (EBM) utilization management and managed care principles
25 % travel (national and international)

Preferred Qualifications:
Board Certification in emergency medicine, anesthesiology, intensive care or aviation medicine
3+ years of international assistance experience as a physician
Hands-on utilization and/or quality management experience
Project management or active project participation experience
Substantial experience in using electronic clinical systems
Experience in International travel medicine/global health
Proven track record of establishing and retaining professional relationships with clinical peers
Able to negotiate successfully with clients and peers, finding mutually agreeable solutions
Careers at UnitedHealth Group. We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these select few, we offer the global reach, resources and can-do culture of a Fortune 6 company. We provide an environment where you're empowered to be your best. We encourage you to take risks. And we offer a world of rewards and benefits for performance. We believe the most important is the opportunity to do your life's best work.(sm)

  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.