At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

General Statement of Duties:

Supports corporate objectives and ensures quality health care by providing physician oversight of Physical Health utilization management, care management, and Quality of Care.

If you are located in Colorado, you’ll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities:

• Work collaboratively with the Chief Medical Officer, other Associate Medical Directors and other RMHP leadership to ensure the integrity of medical and clinical decisions

• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position

• Provides physician input to clinical and medical services and interfaces with contracting IPAs and physicians on medical issues

• Participate in the development and implementation of medical policies, practices, and standards for care to manager utilization and improve the quality of medical services provided by physicians

• Provide medical expertise to clinical staff regarding complex medical cases

• Conduct independent office reviews and Utilization Management preauthorization requests

• Participate in the development or revisions of products to improve utilization, reduce costs, improve quality of care, and improve member health status

• Work with individual and large physician provider groups to establish strong relationships that are conducive to the growth of the health plan and membership

• Participate in the evaluation of new technologies and treatments related to health care and medical practices

• May write and/or edit publications and make presentations for distribution to external medical providers, with the goals of providing unbiased, current, practical medical information and increasing medical providers' skills in critical interpretation of medical literature

• This position may require travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent’s expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage

Additional Duties and Responsibilities:

• Complete all duties in accordance with company safety policies and practices

• Other functions may be assigned and management retains the right to add or change the duties at any time

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 - Colorado preferred

• Board Certified in an ABMS or AOBMS specialty

• 5+ years of clinical practice experience-Intermediate or higher level of proficiency with managed care

• 2+ years of Quality Management experience; Excellent telephonic communication skills; excellent interpersonal communication skills

• Excellent project management skills

• Data analysis and interpretation skills

• Excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices

• Creative problem-solving skills

• Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills

• Solid team player and team building skills

Physical & Mental Requirements

The physical and mental requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made upon request to enable individuals with disabilities to perform the essential functions. Please contact HR to make such a request.

• Ability to execute regular, reliable, and predictable performance of the essential functions of this job through a consistent ability to be physically and mentally present at the assigned work location, at the prescribed time, with the prescribed tools and with the availability necessary to successfully complete the essential duties described herein

• Ability to handle and manage stress associated with the performance of job duties

• Ability to appropriately interact with, and get along with others including supervisors, coworkers, customers and other stakeholders

• Ability to work collaboratively with others as set forth in the job description

• Ability to accurately and timely follow directions of supervisors

• Ability to perform the essential functions of this job at the assigned primary work location for this job, which may be telecommute or in one of the RMHP office locations

• Ability to effectively speak, understand and be understood, and communicate in English

• Ability to hear adequately on the phone, in person and in group settings

• Ability to travel primarily within the State of Colorado. If the employee chooses to satisfy this requirement by driving a vehicle, requires ability to meet the requirements for Colorado licensure and company requirements for liability insurance coverage

• Ability to be exposed to changing weather conditions

• Ability to travel between various locations and to timely arrive and depart from various locations

• Ability to work a flexible schedule including before and after core business hours and occasional evenings and weekends

• Ability to work in front of a computer screen and keyboard, sitting and/or standing up to 8-10 hours per day (possibly longer if required)

• Ability to see computer screen and work papers

• Ability to access, research and interpret information from a variety of media (e.g., computer screen, projected images, printed material) and individuals

• Ability to work in normal office environment conditions and with various office equipment (e.g., computer, keyboard, mouse, calculator, copier, printer, fax, scanner, telephone)

• Ability to move to access various offices and a wide variety of meeting settings

• Ability to perform a variety of tasks that involve standing, walking, sitting, stooping, kneeling, bending and twisting, occasionally climbing stairs or using an elevator, possibly reaching chest high and overhead for materials.

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

Colorado Residents Only: The salary range for Colorado residents is $286,104 to $397,743annually. 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 education, work experience, certifications, etc. 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.