At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans.By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.(sm) We are currently looking for a Medical Director, WTC (World Trade Center) to join our team in La Crosse, WI. This Physician leader will work across multiple departments, primarily interacting with clinical leaders, nurse case managers, medical assistants, social workers, administrative team members as well as external clients. They will serve as the subject matter expert for clinical teams that review client's medical records and/or interact with members according to contract requirements and are the medical liaison for internal and external customer needs. Primary Responsibilities: Ensures medical quality standards are met based on contract requirements Provides utilization review services and medical certification of contract members in response to requests from case managersParticipates in credentialing reviews and clinical qualification approval for providers and practitioners in the National Provider NetworkGuides clinical training for LHI's contracted providers and practitioners in the National Provider Network with regard to the WTC contract; supports WTC Program Manager and supervisors in clinical training of internal staff, including initial and ongoing educationTravels to and represents LHI at monthly WTC steering committee meetingsActs as the LHI medical liaison to NIOSH physiciansParticipates in internal and external WTC meetings and conference calls, which could entail preparation and presentation of reportsMaintains proficiency in medical director duties for other contracts, serving in a support role for other LHI medical directors at the discretion of the CMO, which could include travel and participation in medical services at group eventsProvides medical consultation based on review of physical and behavioral health exams, lab results, EKGs, PFTs, other practitioner documentation and specialty exams, primarily for utilization review purposes but also in a support role of other contractsMaintains active communication with the CMO and other LHI medical directors with regard to the status of medical issues pertaining to the WTC contractContributes medical expertise in creation of technical proposals for a variety of business opportunities as assigned by the CMORepresents LHI during collaboration with entities at UHG and Optum, at the discretion of the CMOResponsible for reviewing NIOSH clinical policy and working with WTC Program Manager to ensure LHI adherence; develop and implement internal training to support clinical policyDevelopment and implementation of member care audit plan
Required Qualifications:Accredited Board Certified MD or DO WI state licensure or willing to obtainCurrent and unrestricted licensure, with the potential to obtain licensure in multiple statesMinimum of 4 years of medical experience with an emphasis on general medicineMinimum of 2 years of leadership experience Active clinical practice or medical management within the past 5 yearsExcellent written and verbal communication skillsEquivalent combination of education, experience and / or applicable military experience will be consideredPreferred Qualifications:Experience in occupational medicineIntermediate Computer SkillsMilitary ExperienceCorporate structure awarenessNational Career Readiness Certificate Please Note: In order to be considered for this position, you must be able to obtain an SF86 Position of Trust which is only available to U.S. Citizens.UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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. Keywords: Physician, Clinician, Wisconsin, Medical, Military
Internal Number: 750885
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.