Medical Director – Oncology (Utilization Management) | Remote, USA
Company: Optum (UnitedHealth Group)
Primary Location: Minneapolis, MN (work remotely anywhere in the U.S.)
Category: Medical & Clinical Operations – Oncology / Utilization Management
Employment Type: Full-time
Compensation / Salary: $238,000 – $357,500 (total cash compensation at target; base + bonus)
Work Mode: Remote (U.S.) with rotational holiday/call coverage
Application Deadline: Minimum 2 business days or until sufficient applicants are received
Job Summary
Optum is hiring a Medical Director – Oncology (Utilization Management) to lead evidence‑based utilization review and support case and disease management teams to drive optimal, cost‑effective outcomes for oncology populations. As an NCCN guideline expert, you’ll collaborate with treating providers, educate internal clinical teams, analyze clinical/claims/utilization data, and advance enterprise-wide oncology quality and research initiatives.
Key Responsibilities
Deliver oncology utilization review determinations grounded in NCCN evidence‑based guidelines
Collaborate telephonically with treating providers to address quality gaps, care plan optimization, and cost stewardship
Serve as subject matter expert for oncology policies, processes, and clinical governance
Educate and mentor oncology nurses/clinical teams; act as a thought leader with external societies/stakeholders
Analyze quality, claims, EMR, and utilization data to identify improvement opportunities
Partner with business and operations leaders on clinical quality, research, and enterprise initiatives
Participate in rotational holiday and call coverage
Required Skills & Qualifications
MD or DO with an active, unrestricted U.S. medical license (ability to obtain additional state licenses as needed)
Board Certified in Oncology (ABMS or AOBMS)
5+ years of clinical practice experience (inclusive of Medical Oncology)
Demonstrated expertise with NCCN guidelines
Proven achievements across utilization management, case/disease management, quality management, peer review, or product development
Comfortable working fully remote and adhering to UnitedHealth Group’s Telecommuter Policy
Preferred Qualifications
Managed care / payer and quality management experience
Perks & Benefits
$238,000 – $357,500 total target cash compensation (experience & metrics dependent)
Comprehensive benefits package (medical, dental, vision)
Equity stock purchase plan & 401(k) contribution
Incentive & recognition programs
Broad career growth pathways across UnitedHealth Group
Company Description
Optum, part of UnitedHealth Group, is a global leader in technology‑enabled health services. By combining advanced analytics, clinical expertise, and nationwide scale, Optum delivers evidence‑based, value‑driven oncology solutions that improve outcomes, reduce variation, and enhance the patient experience.
Work Mode: Remote (United States)
Call-to-Action
Are you a board‑certified oncologist with deep NCCN guideline expertise and a passion for utilization management and quality improvement? Apply now to join Optum and shape oncology care at national scale.
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