Medical Director Plastic Surgery Leader

hace 4 semanas


Guayacán Barrio, Puerto Rico Unitedhealth Group A tiempo completo
Medical Director Plastic Surgery Opportunity

At UnitedHealth Group, we are committed to delivering care and improving health outcomes for millions of people worldwide. As a Medical Director Plastic Surgery, you will play a critical role in leading our claims review program and ensuring the quality and effectiveness of medical services provided through Optum.

Key Responsibilities:

  • Lead the development and implementation of policies and procedures for medical programs and services.
  • Provide clinical guidance and support to staff conducting initial reviews.
  • Collaborate with physicians, nurses, and other healthcare professionals to ensure seamless communication and coordination of care.
  • Participate in training and professional development opportunities to stay up-to-date on the latest clinical and regulatory requirements.
  • Contribute to the development and implementation of clinical criteria and guidelines for medical programs and services.

Requirements:

  • MD or DO degree.
  • Current, active, and fully unrestricted medical license.
  • Board certification in Plastic Surgery.
  • 5+ years of clinical experience post-residency in Plastic Surgery, including head and neck surgery.
  • Proficiency in MS Office (Word, Excel, and PowerPoint).

Preferred Qualifications:

  • Experience in managed care.
  • Experience with professional claim coding and claim coding reviews.
  • Knowledge of claim coding resources and techniques.
  • Proficient computer skills and ability to learn clinical and claims software.

What We Offer:

  • A comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase and 401(k) contribution.

UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer.

UnitedHealth Group is a drug-free workplace.



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