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Clinical Appeals - Medical Doctor

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Optum

14d ago

  • Job
    Full-time
    Senior Level
  • People, HR & Administration
    Healthcare

AI generated summary

  • You must have an undergraduate degree, active medical license, 5+ years in operations management, strong leadership, analytical skills, and excellent communication. Onsite work and US shifts required.
  • You will ensure compliance with company policies and adapt to changes in work assignments, shifts, and environments as required by the evolving business landscape.

Requirements

  • Undergraduate degree or equivalent experience
  • Active Medical License/Physician/Medical Director
  • 5+ years of experience in operations management or a similar role
  • Proven track record of building and leading high-performing teams
  • Proven solid analytical and problem-solving skills
  • Proven excellent communication, interpersonal, and organizational skills
  • Willing to work in US Shift and report in any of the sites
  • Onsite work

Responsibilities

  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

FAQs

What is the primary responsibility of the Clinical Appeals - Medical Doctor role?

The primary responsibility involves complying with the terms and conditions of the employment contract, company policies and procedures, and any directives regarding work locations, team changes, and work shifts.

What are the required qualifications for this position?

The required qualifications include an undergraduate degree or equivalent experience, an active Medical License, 5+ years of experience in operations management or a similar role, a proven track record of leading high-performing teams, strong analytical and problem-solving skills, excellent communication and organizational skills, and the willingness to work US shifts onsite.

Is experience in a BPO/Call Center preferred for this role?

Yes, experience in a BPO/Call Center is a preferred qualification for this position.

What does Optum do as an organization?

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives.

Is this position purely remote?

No, this position requires onsite work.

What kind of environment does Optum promote?

Optum promotes a culture guided by diversity and inclusion, with a focus on improving health equity and health outcomes for the communities served.

What does Optum value in terms of employment practices?

Optum is an Equal Employment Opportunity/Affirmative Action employer and values diversity, ensuring that all qualified applicants receive consideration for employment without regard to various protected characteristics.

What is the mission of UnitedHealth Group?

The mission of UnitedHealth Group is to help people live healthier lives and make the health system work better for everyone.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.