Optum is seeking a Medical Director to lead the Focus Claims Review team, overseeing medical services, coding reviews, and policy development. The role involves physician liaison duties, clinical summaries, and ensuring regulatory compliance across CMS/URAC/NCQA frameworks.
The position offers remote work from anywhere in the United States and requires ABMS/AOA ENT board certification with facial plastic expertise and 5+ years of clinical experience. Strong communication skills essential.
#J-18808-LjbffrRemote ENT Medical Director - Claims & Compliance in northern at Unknown Company
This position is listed as full time and able to be worked remotely.