Be part of best-in-class employee experience that enables you to practice at the top of your license
We believe that better care for clinicians equates to better care for patients
We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations
Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization

Compensation/Benefits Highlights:

Base Salary plus bonus
Financial stability and support of a Fortune 5 Company
Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan (ESPP for UHG Stock)
Comprehensive Benefits plan inclusive of medical, dental, vision, STD/LTD, CME and malpractice
Robust clinician learning and development programs

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Active, unrestricted MD/DO license
Board Certified in a Medical Sub-Specialty
8+ years of experience in clinical documentation
5+ years of clinical practice experience
3+ years of experience with Claims oversight, Special Investigations, or anti-fraud and waste programs, CMS Program Integrity functions, or with Utilization oversight using claims data
3+ years of experience with CMS Appeals and Payment Integrity Manual (PIM) regulations and process
3+ years of experience working in risk bearing provider groups or health plan with population/medical management experience
2+ years of experience with CMS Medicare Administrative Contractor (MAC) as medical director with experience with CMS Program Integrity and work with NCD, LCD and Articles, along with NCCI edits and Appeals processes
Operations experience in large, matrix healthcare environment
Working knowledge of CMS claims processing and payment requirements & regulations
Knowledge of federal and state laws and NCQA regulations relating to managed care and medical management
Proficiency with Microsoft Office applications

Preferred Qualifications:

3+ years of experience with CMS Medicare Administrative Contractor (MAC) as medical director with experience with CMS Program Integrity and work with NCD, LCD and Articles, along with NCCI edits and Appeals processes

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $35,100 to $69,100 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition t