UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service coverage determinations and medical necessity decisions. You will collaborate with network and non-network physicians, lead clinical reviews, and participate in rounds to ensure cost-effective, high-quality care.
Responsibilities include documenting findings, communicating policies, and guiding providers through benefit plans.
#J-18808-LjbffrRemote Medical Director, Pediatrics & Utilization in northern at Unknown Company
This position is listed as full time and onsite.