UM Medical Director - Surgical Specialty - Remote
Optum/UHG · Atlanta, Georgia, United States · US
Utilization Review
Remote
physician
Pharmacist
Demand78
Career growth65
Healthcare fit74
Remote potential92
5-year outlook
Likely a senior physician compensation package with strong base and benefits, though exact pay varies by location, specialty, and payer. Long-term growth depends on payer utilization management demand and physician executive leadership pathways.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
–
Date found
2026-11-05
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 surgeons who want a remote, payer-side utilization management role with clinical relevance and leadership exposure. It is less suitable for early-career clinicians or those without surgical board certification.
Who should apply
Board-certified surgeons, especially those with utilization management, quality improvement, medical policy, insurance, or peer-to-peer review experience, who want a remote non-clinical or healthcare-adjacent career path.
CV angle
Frame surgical board certification and clinical decision-making as the foundation, then highlight any utilization review, quality improvement, medical necessity, policy interpretation, peer-to-peer communication, documentation, regulatory/accreditation, and cost-effective care experience. Emphasize multidisciplinary collaboration and payer/provider communication without fabricating UM experience.
Skills to highlight
- Utilization management
- Medical necessity review
- Benefit coverage determination
- Peer-to-peer provider communication
- Clinical documentation and review
- Quality improvement
- Regulatory and accreditation compliance
- Cost-effective care and medical policy interpretation
Role summary
A remote payer-side Medical Director role focused on utilization management for a surgical specialty. The physician reviews service requests, applies benefit and medical necessity criteria, documents determinations, discusses cases with providers, and collaborates with clinical operations teams.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.