Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
UnitedHealth Group · San Diego, CA
Visit company website
FULL-TIME
Posted Aug 22, 2026
Job Description
Medical Director OncologyOptum 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 inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Medical Director Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes.You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomesServe as a subject matter expert in evidence-based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidenceEngage and collaborate with treating providers telephonically; This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenseEnhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies and stakeholdersEvaluate clinical and other data (e.g., quality metrics, claims and health record data, utilization data) to identify opportunities for improvement of clinical care and processesCollaborate with operational and business partners on enterprise-wide resea
Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Medical Director Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes.You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomesServe as a subject matter expert in evidence-based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidenceEngage and collaborate with treating providers telephonically; This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenseEnhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies and stakeholdersEvaluate clinical and other data (e.g., quality metrics, claims and health record data, utilization data) to identify opportunities for improvement of clinical care and processesCollaborate with operational and business partners on enterprise-wide resea
Additional Details
- City
- San Diego
- State
- California
- Country
- US
Apply and matching require a free OVN account. Browse listings anytime without signing in.