Medical Director - Clinical Advocacy and Support - Specialty Surgery preferred - Remote
Optum/UHG · Atlanta, Georgia, United States · US
Utilization Review
Remote
physician
Pharmacist
Demand82
Career growth65
Healthcare fit86
Remote potential90
5-year outlook
Senior physician medical director roles in utilization management typically offer competitive physician-level compensation with benefits and incentives, though exact pay varies by specialty, location, and experience. Demand is likely stable but tied to payer policy, utilization management needs, and regulatory changes.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
–
Date found
2026-10-29
Intelligence details
Flexible work details
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Pharmacist
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for board-certified physicians, especially surgeons, who want a remote payer-side role using clinical judgment without direct patient care. It is not suitable for early-career clinicians or those without an active license.
Who should apply
Board-certified physicians with clinical leadership, quality, case review, or utilization management exposure; specialty surgeons looking to transition into payer/utilization management; physicians comfortable with coverage determinations and peer-to-peer provider discussions.
CV angle
Frame real clinical experience around medical necessity decision-making, guideline and policy application, peer-to-peer communication, documentation, quality improvement, and multidisciplinary collaboration. Highlight any case review, committee, policy, utilization, or quality work without fabricating utilization management experience.
Skills to highlight
- Clinical judgment
- Utilization management
- Medical necessity review
- Benefit coverage determination
- Peer-to-peer communication
- Quality improvement
- Documentation and regulatory compliance
- Multidisciplinary collaboration
Role summary
A remote physician medical director role at Optum/UHG focused on utilization management, coverage reviews, medical necessity determinations, peer-to-peer provider discussions, and collaboration with clinical operations teams to support evidence-based, cost-effective care.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.