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Medical Director, Muntinlupa

Last update 2024-02-28
Expires 2024-03-28
ID #2023372178
Free
Medical Director, Muntinlupa
Philippines, Metro Manila, Muntinlupa,
Modified February 8, 2024

Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.

The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health equity on a global scale.

Join us to start Caring.

Connecting.

Growing together.

The primary purpose of this role is to serve as a Medical Director for an international medical insurance/benefits provider.

The role supports multiple product lines including assistance, expatriate medical insurance and business travel medical insurance.

The APAC Medical director will provide oversight to a clinical team monitoring members receiving medical care across the world, assessing the appropriateness of care, interpreting and applying policy contract language to clinical situations and making recommendations for medical movement (local and international).

The role also supports network team activities such as onsite provider assessments, contract negotiations as well as providing insight on local health and geopolitical situations that may impact clients or members.

Additionally, this role will support client facing activities including but not limited to client meetings and finalist meetings.

This role reports to the Chief Medical Officer for North America Market, Global Solutions Primary Responsibilities: Assistance, expatriate and business travel medical insurance products Leverage clinical acumen to provide medical direction and oversight to clinical care managers within the Emergency Response Center for member cases during normal business hours in APAC region – cases will be related to level of care decisions, appropriateness of care and evacuation decisions, etc.

Assist staff in navigating medical management system Assist in obtaining member medical records and/or information in region Conduct peer to peer reviews to obtain information, manage care and facilitate member movements Comply with medical ethics guidelines Maintain appropriate certificates and licenses Participate and create ongoing medical education for clinical staff Manage physician consultants with local or subject specific expertise Cover duties of other- regional medical directors where required May be required to participate in on-call responsibilities (weekends/after hours) Market facing in support of growth office activities Participate in broker, client and/or prospect meetings as clinical subject matter expert Actively support finalist meeting preparation and attend as clinical subject matter expert Support annual plan review meetings as clinical subject matter expert Provide thought leadership on current/future medical/health trends in the APAC region Create written materials and presentations for brokers, clients and members Network and health care intelligence support Conduct onsite provider assessments according to set protocols Conduct in-region physician credentialing activities Support affordability and cost containment activities in region Interface with local air ambulance providers, hospital and provider networks representing UHC, including but not limited to provider negotiations Provide current health and geopolitical updates to the business 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 Required Qualifications: Medical Degree (MD, DO, MBBS or equivalent)Current Unrestricted Medical license7+ years clinical practice in a healthcare setting post degree Understanding of medical management across a wide range of conditions across undifferentiated populations Exceptional problem solving skills Proven excellent relationship management skills, comfortable engaging with varying levels of employees Proven excellent written and verbal communication skills, including English Proven good presentation skills Demonstrated leadership skills Solid ability to negotiate and influence.

Ability to make autonomous high stakes decisions in high pressured and fast paced environments Ability to travel internationally.

Solid understanding of business financial acumen Working hours will be dayshift in Asia Preferred Qualifications: Understanding of UHCG products and services International healthcare experience Medical Transport and/or assistance experience Experience working in global health/international healthcare settings Insurance/Health plan experience MBA/business experience Applicants from Philippines and India will be considered At United Health 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.

Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.

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.

Job details:

Job type: Full time
Contract type: Permanent
Salary type: Monthly
Occupation: Medical director

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