- Active, unrestricted physician license
- Current board certification in ABMS or AOA specialty Family Medicine or Internal Medicine
- 5+ years of clinical practice experience after completing residency training
- Substantial experience using electronic clinical systems
- Solid belief in EBM (Evidence Based Medicine), and familiarity with current medical issues and practices
- Licensure in Texas, Indiana, Nebraska, Arizona, Washington, or Kansas
- Clinical practice experience in the last 2 years
- Hands-on experience in utilization and coverage review in a health plan
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Remote Psychologist in Texas
1 day ago
AssuraSource Behavioral Health Services Austin, United StatesAssuraSource Behavioral Health Services - Who we are · AssuraSource Behavioral Health Services is a locally owned company that provides Behavioral Health Services throughout Texas. Our therapists provide counseling through virtual sessions and in-home sessions. We have some of th ...
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Remote Medical Director Texas
1 hour ago
Centene Corporation Austin, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.* ...
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Soliant Austin, United StatesMinimum 1+ years visually impaired experience required. · Texas Remote Teacher of the Visually Impaired (TVI) - VocoVision · Are you a qualified Teacher of the Visually Impaired looking for a rewarding remote opportunity? VocoVision is seeking a TVI for a remote position in Texas ...
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Remote Medical Director Texas
1 week ago
Centene Corporation Austin, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
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Remote Psychologist in Texas
1 week ago
AssuraSource Behavioral Health Services Austin, United States**Who we are** · AssuraSource Behavioral Health Services is a locally owned company that provides Behavioral Health Services throughout Texas. Our therapists provide counseling through virtual sessions and in-home sessions. We have some of the most affordable rates available and ...
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Technical Analyst – 100% remote within Texa
3 days ago
Texas Department of Aging & Disability Services Austin, United StatesJob Description: · ***This position can telework % from any location in Texas consistent with HHS telework policies. *** Criminal Background check required** · Under the general supervision of the Operations Manager in the Public Health Applications Division of HHS IT, serves as ...
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TEXAS DEPARTMENT OF MOTOR VEHICLES Austin, United StatesGENERAL DESCRIPTION · Our mission at the Texas Department of Motor Vehicles (TxDMV) is to serve, protect and advance the citizens and industries in the state with quality motor vehicle related services. We are a dynamic state agency dedicated to customer service, consumer protect ...
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Sunbelt Staffing Austin, United StatesJob Description · Job DescriptionMinimum 1+ years speech therapy experience required. · Texas Speech Language Pathologist Teletherapy/Remote Vacancy · Sunbelt is currentlyseeking a Speech-Language Pathologist (SLP) for a 100% teletherapy position in Texas. You'll provide speech t ...
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Txdmv - Programmer Ii (Remote in Texas)
3 weeks ago
TEXAS DEPARTMENT OF MOTOR VEHICLES Austin, United States**TxDMV - Programmer II (REMOTE IN TEXAS)** **(** **)** · **Organization**: TEXAS DEPARTMENT OF MOTOR VEHICLES · **Primary Location**: Texas-Austin · **Work Locations**: Camp Hubbard Bldg Jackson Ave Bldg 5 Austin · **Job**: Computer and Mathematical · **Employee Status**: Regul ...
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Texas School Psychologist Remote Work From Home
2 weeks ago
Sunbelt Staffing Austin, United StatesJob Description · Job DescriptionMinimum 1+ years school psychologist experience required. · Are you a passionate and experienced School Psychologist looking for a flexible opportunity to make a difference in the lives of students? · Responsibilities: · Conduct virtual assessment ...
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CAPPS, Inc. Austin, United StatesJob Description · This position is eligible for remote work within the state of Texas (subject to change). Must attend meetings/trainings at headquarters as required by management. · To apply for this position, complete an on-line application either through the Applicant Caree ...
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HR & Compensation Consultant (Remote-texas Only)
3 weeks ago
Texas Association of School Boards Austin, United States**Why Texas Association of School Boards (TASB)** · We come from humble beginnings — picture a one-person organization created in 1949 to advocate for excellence in public education on behalf of Texas school board members. Flash forward to today, and we have over 500 employees wo ...
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Sunbelt Staffing Austin, United States ContractMinimum 1+ years school psychologist experience required. · VocoVision is a TelePractice company that is partnered with school districts across the nation to service students in need of specific therapy, such as visually impaired individuals. · We are currently looking for School ...
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TxDMV - IT Support Specialist II (Hybrid)
1 week ago
TEXAS DEPARTMENT OF MOTOR VEHICLES Austin, United StatesGENERAL DESCRIPTION · Our mission at the Texas Department of Motor Vehicles (TxDMV) is to serve, protect and advance the citizens and industries in the state with quality motor vehicle related services. We are a dynamic state agency dedicated to customer service, consumer protect ...
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TxDMV - Cybersecurity Analyst I - II (Remote)
2 weeks ago
TEXAS DEPARTMENT OF MOTOR VEHICLES Austin, United StatesGENERAL DESCRIPTION · Our mission at the Texas Department of Motor Vehicles (TxDMV) is to serve, protect and advance the citizens and industries in the state with quality motor vehicle related services. We are a dynamic state agency dedicated to customer service, consumer protect ...
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Attorney III
2 weeks ago
TEXAS MEDICAL BOARD Austin, United StatesAttorney III Organization · :TEXAS MEDICAL BOARD Primary Location · :Texas-Austin Work Locations · :George H.W. Bush1801 Congress AveSuite 9.200Austin78701 Job · :Legal Employee Status · :Regular Schedule · :Full-timeStandard Hours Per Week:40.00 Travel · :Ye ...
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TxDMV - IT Project Manager I (REMOTE)
2 weeks ago
TEXAS DEPARTMENT OF MOTOR VEHICLES Austin, United StatesGENERAL DESCRIPTION · Our mission at the Texas Department of Motor Vehicles (TxDMV) is to serve, protect and advance the citizens and industries in the state with quality motor vehicle related services. We are a dynamic state agency dedicated to customer service, consumer protect ...
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Systems Analyst 2
1 week ago
Abacus Service Corporation Austin, United States ContractSolicitation Reference Number · Customer Name · Texas Health and Human Services Commission · Category · Applications/Software Development · Customer Entity Name · Health and Human Services Commission · Title · Systems Analyst · Level · Systems Analyst · Estimated Hours · , · SSR ...
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QA Associate/Analyst 3
3 weeks ago
Abacus Service Corporation Austin, United States ContractSolicitation Reference Number · Customer Name · Texas Health and Human Services Commission · Category · Quality Assurance (QA) and Testing · Customer Entity Name · Health and Human Services Commission · Title · QA Associate/Analyst · Level · QA Associate/Analyst · Estimated Hour ...
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TxDMV - Internal Auditor I-II (Hybrid)
2 weeks ago
TEXAS DEPARTMENT OF MOTOR VEHICLES Austin, United StatesGENERAL DESCRIPTION · Our mission at the Texas Department of Motor Vehicles (TxDMV) is to serve, protect and advance the citizens and industries in the state with quality motor vehicle related services. We are a dynamic state agency dedicated to customer service, consumer protect ...
Medical Director Remote Texas - Austin, United States - UnitedHealth Group
Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Coverage Review Medical Director is a key member of the Optum Enterprise Clinical Services Team. They are responsible for providing physician support to Clinical Coverage Review (CCR) operations, the organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The Medical Director collaborates with CCR leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other UnitedHealth Group departments.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
You'll 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.
Qualifications - External
Required Qualifications:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual 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 local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
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