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UnitedHealth Group

UnitedHealth Group is looking for a Medical Director Specialty Pharmacy Programs – Telecommute  #ListOfCareersInPagosaSprings #PagosaSpringsEmploymentOpportunity #DirectorJobsPagosaSprings #MedicalJobsPagosaSprings #PharmacyJobsPagosaSprings

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm)The Optum Specialty Pharmacy Programs Medical Director will provide utilization management services for our clients and clinical guidance for our next-generation comprehensive specialty pharmacy solution. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient specialty pharmacy care for our clients. Primary Responsibilities: Serve as a subject matter expert in specialty pharmacy drugs covered under the medical benefit to include for example sodium hyaluronate, inflammatory, intravenous immunoglobulin and multiple sclerosis drugs Perform utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes Engage & collaborate with treating providers telephonically. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense Enhance clinical expertise of the specialty pharmacy team through education sessions with nursing teams Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes At Optum, you will perform within an innovative culture that’s focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that’s greater than you’ve ever imagined.Youll 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 medical license Board Certified in a Medical Specialty  5+ years of clinical practice experience Demonstrated accomplishments in any of the following areas: Utilization management, Case management, Disease management, Quality management Experience working with clinical policy Strong presentation skills and interpersonal skills Strong computer skills to include MS Office and the ability to learn new technologies If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.Preferred Qualifications: Utilization management experience working in collaboration with a utilization management company, payor or hospital  Board Certification in Internal Medicine or Family Medicine Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)Colorado Residents Only: The salary range for Colorado residents is $254,600 to $295,200 (the 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. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.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.Job keywords: Medical Director, Specialty Pharmacy, Healthcare, Health Care, Telecommute, Remote, Work from Home, WFH, Internal Medicine, Family Medicine, Internist Recommended SkillsDisease ManagementUtilization ManagementInterpersonal SkillsHospitalsInternal MedicineFamily MedicineRecommended JobsDirector Of PharmacyAtlanta,GaDirector Of Pharmacy, Atlanta,GaMedical Director Specialty Pharmacy Programs – TelecommuteUnitedHealth GroupWork From HomeFull-TimeVP Pharmacy SvcsWellStar Health SystemMariettaDirector – Pharmacy Network – Minnetonka, MN, Pittsburgh, PA or TelecommuteUnitedHealth GroupAtlanta

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