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Director for Medical Operations - MD

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Optum

Oct 26, 2024

Applications are closed

  • Job
    Full-time
    Expert Level
  • Healthcare

Requirements

  • Must hold an active, unrestricted Doctor of Medicine licensure in the Philippines
  • 3+ years Managerial experience, preferably from a BPO company
  • 3+ years experience in Utilization Management/Case Management and/or other clinical decision-making processes required with proficiency in using InterQual, MCG, Medical Policies and other clinical guidelines
  • 3+ years Clinical experience
  • Has completed residency training in Internal or Family Medicine or Surgery
  • Proven track record of building and leading high-performing teams
  • Proven solid computer, analytical, and problem-solving skills
  • Proven excellent communication, interpersonal, and organizational skills
  • Willing to work in Night Shift and report to any of the sites - Makati, Alabang, QC and Taguig
  • Hybrid work model - at home and onsite

Responsibilities

  • Position in this function includes those responsible for management and administration of multiple Medical & Clinical Operations Functions, or managing general operations which are not specific to one of the functions in the Medical & Clinical Operations job family
  • Provides leadership to and is accountable for the performance of managers and/or senior level professional staff
  • Leverage clinical acumen to provide guidance to staff (e.g., disease state, health conditions). Assist staff in navigating the medical management system (e.g., find resources, answers questions)
  • Provide oversight and review of coordination of care (e.g., chronic condition management, utilization management, case management)
  • Develop policies, procedures, and guidelines for medical and clinical operations programs and review/approve policy and process changes
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

FAQs

What is the primary role of the Director for Medical Operations - MD?

The primary role involves management and administration of multiple Medical & Clinical Operations Functions, providing leadership and oversight, developing policies, and ensuring performance accountability for managers and senior-level staff.

What qualifications are required for this position?

Candidates must hold an active, unrestricted Doctor of Medicine licensure in the Philippines, have 3+ years of managerial experience, clinical experience, and experience in Utilization Management or Case Management, among other requirements.

Is experience in US healthcare businesses preferred?

Yes, experience working in US healthcare businesses and with US clients is preferred.

What type of work model is offered for this position?

The position offers a hybrid work model, allowing for both at-home and onsite work.

Are there specific locations where the Director may need to report?

Yes, the Director may need to report to any of the company's sites located in Makati, Alabang, QC, and Taguig.

What are the working hours for this position?

The role requires willingness to work the night shift.

Does Optum have a diversity and inclusion policy?

Yes, Optum is committed to diversity and inclusion and provides equal employment opportunities regardless of various protected characteristics.

What benefits does Optum offer to employees?

Optum offers comprehensive benefits and career development opportunities to its employees.

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Optum

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.