Physician Advisor

Physician Advisor at UnitedHealth Group

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Optum, a global organization under UnitedHealth Group, delivers care aided by technology to help millions live healthier lives. Joining our team means directly improving health outcomes by connecting people with essential care, pharmacy benefits, data, and resources. 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.

This is a Full-time Remote Physician Advisor position.

Coverage spans from 6 pm - 3 am EST, Monday-Friday, with one weekday off per 4-week cycle replaced by a Saturday or Sunday 6 pm-3 am shift. Schedules are set based on business needs to ensure adequate staffing of all shifts. There is a shared responsibility for weekend and Holiday coverage by all Physician Advisors.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Promote efficient and effective clinical care for hospitalized patients, delivered in a timely, appropriate, and cost-effective fashion, guided by evidenced-based medicine and regulatory requirements. This is achieved via clinical documentation review, collaborative telephonic communication, and other interactions with hospital client Case Managers and Attending Physicians.
• Promote payor and provider adherence to all applicable regulatory standards and CMS policy regarding inpatient admissions, observation/outpatient status, and the appropriate status for continued hospital stays.
• Provide in-depth clinical expertise in the management of specific patient populations to effectively manage length of stay for hospital clients by discussing documented concerns and plans of care with treating physicians as it relates to utilization review.
• Meet performance and quality metrics while incorporating feedback from quality improvement reports and providing exceptional customer service.
• Function as a vital aspect of a team consisting of other Physician Advisors, Nurses, Administrative Assistants, Clinical Relationship Managers, and Team Leaders, providing prompt responses to requests for assistance from any team member.
• Perform all applicable administrative tasks, staying abreast of internal policies/procedures, regulatory changes, and updates within the business segment, and completing mandatory UHG and Optum Physician Advisor Solutions Learn Source and education modules.
• Make engagement an area of focus and priority with commitment to the organization, colleagues, team members, and clients.

Required Qualifications

• MD or DO
• Board Certified
• Current, unrestricted medical license
• 3+ years of experience in a hospital-based practice setting
• Solid clinical knowledge base
• Demonstrated computer proficiency
• Proven ability to have meaningful and informed conversations with Case Managers and Attending Physicians
• Proven solid organization and communication skills
• Proven problem-solving abilities
• Proven team player mentality
• Proven superior documentation skills
• Ability to work remotely between the hours of 6 pm - 3 am EST, M-F with weekend rotation.

Preferred Qualifications

• Proven ability to work independently
• Proven self-motivation
• Dedicated remote workspace
• Ability to work the designated schedule required per business needs

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Compensation for this specialty generally ranges from $160,000 - $300,000. 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.

The application deadline for this position will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. The job posting may come down early due to the volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location, and income—deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes—an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Key skills/competency

• Clinical Expertise
• Utilization Review
• Case Management
• Medical Documentation
• Regulatory Compliance
• Patient Care
• Communication Skills
• Problem Solving
• Team Collaboration
• Remote Work Management