Medical Director Plastic Surgery Leader
hace 4 semanas
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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