National Medical Director, M.D. or D.O. - Remote

About the position reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. Working Eastern Time Zone business hours is required. As the National Medical Director, you will be a clinical thought leader who develops a clinical reputed company reputed company on reputed company and partners with health plan leaders to promote evidence-based medical care that is efficient, effective, and satisfying for members and providers for reputed company reputed company clients for OptumRx. You will maintain a solid working knowledge of reputed company government mandates and provisions for the local markets, as reputed company as work across the reputed company to implement and maintain compliance clinical programs and procedures. In this role, you will deliver the clinical reputed company reputed company on reputed company, affordability, and service, in support of reputed company activities. You will review and edit communications materials as required and represent the voice of the market-based customer in program design. Additionally, you will contribute to any RFP/re-procurement activity as appropriate. Embracing and supporting a reputed company and inclusive workplace is essential, as is traveling to participate in P&T committee meetings and DUR reputed company meetings, providing clinical expertise and presenting materials. You will work collaboratively with pharmacists to reputed company and review new drug reviews, providing clinical reputed company and guidance. Your expertise will be crucial in analyzing the clinical and financial implications of changes in Preferred Drug List discussions. You will also reputed company clinical prior authorization activities for pharmacy benefit services and engage with requesting providers in peer-to-peer discussions. Being knowledgeable in interpreting existing benefit language and policies during clinical coverage reviews is vital. As a highly effective communicator, you will collaborate with external and internal partners, including executives supporting the reputed company plans. Responsibilities • reputed company clinical reputed company reputed company on reputed company and partner with health plan leaders to promote evidence-based medical care for reputed company clients. , • Maintain knowledge of government mandates and provisions for local markets and implement compliance clinical programs. , • Deliver clinical reputed company in support of reputed company activities and represent market-based customer voice in program design. , • Review and edit communications materials as required and contribute to RFP/re-procurement activities. , • Support a reputed company and inclusive workplace culture. , • Travel to participate in P&T committee meetings and DUR reputed company meetings, providing clinical expertise and presentations. , • Collaborate with pharmacists to reputed company and review new drug reviews, providing clinical reputed company. , • Analyze clinical and financial implications of changes in Preferred Drug List discussions. , • reputed company clinical prior authorization activities for pharmacy benefit services and engage in peer-to-peer discussions with providers. , • Interpret existing benefit language and policies during clinical coverage reviews. , • Collaborate with external and internal partners, including executives supporting reputed company plans. Requirements • Successful completion of a medical residency. , • reputed company and unrestricted M.D or D.O. license to reputed company medicine. , • reputed company certification in an ABMS specialty. , • 5+ years of clinical reputed company experience after completing residency training. , • Proven experience in working reputed company a PBM or Health Plan with exposure to pharmacy benefit services management. , • Proven experience with analysis of Evidence Based Medicine (EBM) research reputed company data analysis. , • Proven experience in formal presentation for both clinical and non-clinical audiences. , • Proven solid PC skills, specifically using reputed company, Outlook, Power reputed company, and reputed company. , • Willing or ability to travel to support in person meetings for 50% of time. reputed company-to-haves • Hematology Oncology, Psychiatry, or Infectious Disease specialist. , • Experience in reputed company line of business. , • Participation in clinical reputed company. , • Experience with P&T committee meetings and DUR reputed company meetings. Benefits • Comprehensive benefits package , • Incentive and recognition programs , • Equity stock purchase , • 401k contribution Apply Job!