Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

Medical Director – Medical Oncologist Um – Remote Anywhere In Us

Optum
Optum
5+ years
$238,000 – $357,500
10 July 31, 2025
Job Description
Job Type: Full Time Education: MD/DO Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Medical Director – Medical Oncologist UM (Remote, Anywhere in the U.S.)
Location: Houston, Texas, USA (Remote Work Considered)
Job Category: Medical & Clinical Operations
Requisition Number: 2295386
Estimated Salary Range: $238,000 – $357,500 annually (Base + Bonus; varies by experience and productivity)

About the Role:
Optum is seeking a board-certified Medical Oncologist to serve as a Utilization Management (UM) Medical Director, contributing to the advancement of evidence-based oncology care. This fully remote position focuses on utilization review, provider collaboration, and clinical leadership to improve patient outcomes and healthcare value.

Primary Responsibilities:

  • Perform oncology-focused utilization review determinations to ensure clinically appropriate care.

  • Provide clinical support to case management and disease management teams to optimize outcomes.

  • Apply NCCN guidelines and other evidence-based standards to evaluate care plans.

  • Engage in telephonic discussions with treating providers to promote quality improvements and cost-effective care.

  • Collaborate with internal nursing teams, providing education sessions and clinical mentorship.

  • Analyze clinical, quality, and utilization data to identify improvement opportunities.

  • Serve as a clinical subject matter expert for enterprise-wide oncology initiatives and policy development.

  • Partner with research, operational, and business teams to lead Optum's role in onco-innovation.

  • Participate in rotating on-call and holiday coverage responsibilities.

Required Qualifications:

  • MD or DO with an active, unrestricted U.S. medical license.

  • Board certification in Oncology (ABMS or AOBMS).

  • Minimum 5 years of clinical oncology practice experience.

  • Deep knowledge of NCCN guidelines and clinical pathway adherence.

  • Willingness to obtain multi-state licenses as needed.

  • Strong background in utilization, case management, disease management, or clinical quality.

Preferred Qualifications:

  • Prior experience in managed care or health plan quality management.

  • Demonstrated success in peer review, product development, or policy implementation.

  • Leadership in oncology societies, value-based care initiatives, or payer-provider alignment.

Why Join Optum?
As part of UnitedHealth Group, Optum offers the opportunity to make a significant impact on patient lives by transforming oncology care delivery. With remote flexibility, competitive compensation, and a mission-driven approach, you will lead national efforts to improve outcomes while supporting patients, providers, and health systems alike.

Benefits Include:

  • Comprehensive health, dental, and vision coverage

  • 401(k) with company contributions and stock purchase plan

  • Incentive bonuses and recognition programs

  • Generous PTO and paid holidays

  • Professional development support and educational reimbursement

  • Equity and long-term incentive programs (subject to role eligibility)