The Medical Director for the Oncogenetic Program provides clinical leadership and oversight for utilization management related to advanced molecular and genetic testing in oncology. This role ensures evidence-based decision-making, compliance with regulatory standards, and optimal patient outcomes through expert interpretation of genomic data and collaboration with multidisciplinary teams. The position requires experience in molecular pathology and oncogenetics, combined with demonstrated leadership skills and the ability to thrive in a fast-paced, technology-driven environment.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:- Work to improve quality and promote evidence-based medicine
- Ensure the right service is provided at the right time for each member
- Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
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:- M.D., D.O., or M.B.B.S.
- Specialized training in molecular pathology, oncology, or similar
- Board certification approved by the American Board of Medical Specialties (ABMS)
- Active unrestricted license to practice medicine
- 5+ years of clinical experience in oncology or genetic medicine
- Experience with utilization management in oncology/genetic testing
- Experience with genomic data interpretation software (e.g., NextGen sequencing analysis tools)
- Knowledge of regulatory and compliance standards (CMS, NCCN, ASCO guidelines) for genetic testing and oncology care
- Familiarity with molecular diagnostic coding systems and claims platforms
- Proficiency in interpreting next-generation sequencing (NGS) and other advanced molecular diagnostic technologies
- Demonstrated leadership skills
- Demonstrated ability to work effectively in a fast-paced, technology-driven environment
Preferred Qualifications:- Hands-on utilization and/or quality management experience
- Experience in using electronic clinical systems
- Active project participation experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Compensation for this specialty generally ranges from $248,500.00 to $373,000.00. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
