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Medical Director – Post-Acute Care Management – Optum Care Transitions Remote In Us

3+ 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 – Post-Acute Care Management (Remote – US)
Location: Remote (based in Houston, TX or anywhere in the United States)
Job Category: Medical & Clinical Operations
Requisition Number: 2300800
Estimated Salary Range: $238,000 – $357,500 (Total Cash Compensation)


About the Role:
Optum Home & Community Care, under UnitedHealth Group, is seeking a Medical Director – Post-Acute Care Management to join its Care Transitions (naviHealth) team. In this fully remote role, you’ll lead the clinical oversight of utilization management for post-acute care, support hospital and provider engagement, and help shape the strategic delivery of healthcare from hospital to home.


Key Responsibilities:

  • Perform daily utilization management (UM) reviews, including authorization and denial assessments.

  • Conduct peer-to-peer conversations and provider discussions regarding evidence-based care, cost-effective treatment, and appropriate discharge planning.

  • Support provider communications and build trusted relationships with both network and non-network healthcare professionals.

  • Serve as a clinical subject matter expert and represent Care Transitions in stakeholder engagements and advisory boards.

  • Collaborate with internal teams (Client Services, Analytics, Leadership) to support strategic goals and service innovation.

  • Participate in rotational weekend and evening coverage as needed.

  • Guide post-acute care strategy to improve care transitions, patient outcomes, and reduce hospital readmissions.


Required Qualifications:

  • MD or DO degree from an accredited institution

  • Active and unrestricted medical license in at least one U.S. state (willingness to obtain additional state licenses)

  • Current Board Certification in any ABMS or AOA specialty

  • Minimum 3 years of post-residency clinical practice experience


Preferred Qualifications:

  • Licensure in multiple states

  • Familiarity with CMS guidelines for post-acute care

  • Experience using electronic health records (EHRs) and related clinical systems

  • Deep understanding of population-based medicine

  • Strong interpersonal skills with a collaborative, team-oriented mindset

  • Ability to lead with a balance of clinical expertise and administrative acumen


Why Join Care Transitions?

  • Be part of transforming care from hospital to home and ensuring patients enjoy more days in familiar surroundings.

  • Work alongside visionary healthcare leaders in a supportive, tech-driven, and fast-paced environment.

  • Help redefine how older adults experience recovery, independence, and quality of life.


Benefits Include:

  • Comprehensive medical, dental, vision, and life insurance

  • 401(k) with company contribution and equity stock purchase

  • Paid Time Off and incentive recognition programs

  • Support for state licensing expansion

  • Work-from-home flexibility and adherence to UnitedHealth Group’s Telecommuter Policy