Neonatal Resource Services Medical Director - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Neonatal Resource Services Medical Directors (NRS MDs) team is within Women's Health Team within Enterprise Clinical Services (ECS). The NRS MD works together with our NRS operations team to provide clinical expertise and review data trends in the markets we manage. The position drives performance across our organization by communicating with hospital physicians and utilization management staff at client hospitals to champion best practices for evidence-based care. NRS MDs work closely with NICU nurses reviewing clinical information provided, communicate with providers as they progress care, provide utilization management (UM) reviews, and facilitate discharge planning. The NRS MD works closely with the health plans to review complex cases and data trends in the markets. The NRS MD will join a group of neonatologists at NRS where teamwork, communication, and ongoing education are valued.

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

Primary Responsibilities:

• Engage with a team of neonatologists and NICU nurses in the evaluation of the NICU patient
• Review literature and develop evidence-based guidelines
• Participate in nursing education as it relates to neonatology
• Conduct provider telephonic review and discussion, shares tools, information and guidelines related to cost-effective health care delivery and quality of care
• Support all clinical quality initiatives and peer review processes
• Appropriate utilization management of cases
• Clinical lead for healthcare affordability initiatives at the local market
• Effectively engage and bring understanding to our external constituents such as physicians, medical and specialty societies, hospitals and hospital associations, and state regulators
• Deliver the clinical value proposition focused on quality, affordability, and service, in support of the sales and growth activities
• Identifying opportunities through participation in committees or market reviews
• Participate in data analysis reviewing market trends with the Product team and health plans
• Engage with clients reporting trends in individual markets
• Engage with Obstetrical colleagues in Women's Health
• Participate in weekend and holiday call coverage
• Obtain and maintain state licensures required for role

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• MD or DO with an active, unrestricted license
• Board Certified in Neonatal-Perinatal Medicine
• 5+ years of clinical practice experience after completing fellowship training
• Solid understanding of Evidence based Medicine (EBM)
• Proven solid PC skills, specifically using MS Word, Outlook, and Excel

Preferred Qualifications:

• Experience in utilization and clinical coverage review
• Proven excellent oral, written, and interpersonal communication skills, facilitation skills
• Proven excellent presentation skills for both clinical and non-clinical audiences

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.