Job Description
Requisition number: 2286240 Job category: Medical & Clinical Operations Remote work is available anywhere within the U.S. Primary Responsibilities Perform utilization review determinations for oncology populations and support case and disease management teams to achieve optimal clinical outcomes. Serve as subject matter expert in evidence‑based oncology guidelines, especially National Comprehensive Cancer Network (NCCN) products, ensuring all policies and processes are informed by the best available evidence. Engage and collaborate telephonically with treating providers to discuss guidelines, identify clinical quality/service gaps, and influence care‑plan changes that can affect health‑care expense. Enhance the oncology team’s clinical expertise through education sessions with nursing teams and act as a thought leader and point of contact for medical societies and stakeholders. Evaluate clinical data (quality metrics, claims, health‑record data, utilization data) to identify opportunities for improvement of clinical care and processes. Collaborate with operational and business partners on enterprise‑wide research, clinical and quality initiatives to enhance Optum’s impact in oncology. Required Qualifications MD or DO with an active, unrestricted medical license. Additional licenses obtained as needed. Current board certification in an ABMS or AOBMS specialty in Oncology. At least 5 years of clinical practice experience, including medical oncology. Experience working with NCCN guidelines. Demonstrated accomplishments in medical care delivery systems, utilization management, case management, disease management, quality management, product development, or peer review. Willingness to participate in rotational holiday and call coverage. Preferred Qualification Experience in managed care and quality management. All employees working remotely must adhere to UnitedHealth Group’s Telecommuter Policy. Salary Range: $238,000 to $357,500 annually based on full‑time employment. Payment is based on several factors including education, work experience, certifications, metrics, and includes base and variable bonus components. UnitedHealth Group provides a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contributions (eligibility subject to requirements). Application Deadline: This posting will be available for a minimum of 2 business days or until a sufficient candidate pool has been collected. It may close early due to volume of applicants. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.