Appeals and Grievances Medical Director – Oncologist Required – Virtual – Remote

Job Summary

UnitedHealth Group is seeking an experienced Oncology Medical Director to lead Appeals and Grievances for its virtual care team. This remote position is based out of Boston, Suffolk County, US, offering a competitive salary of $158,166.58.

Key Responsibilities

• Oversee the appeals and grievance process for oncology services, ensuring compliance with regulatory standards.
• Provide clinical expertise and guidance to case managers, physicians, and legal teams.
• Develop and implement evidence‑based protocols to improve patient outcomes and reduce claim denials.
• Collaborate with cross‑functional teams to streamline workflows and enhance the virtual care experience.
• Analyze data trends, prepare reports, and present findings to senior leadership.
• Stay current with oncology best practices, payer policies, and emerging therapies.

Qualifications

• Board‑certified Oncologist with a valid medical license in the United States.
• Minimum 5 years of clinical experience in oncology, preferably within a health plan or integrated health system.
• Proven experience in medical‑legal review, appeals, or grievance management.
• Strong analytical skills and ability to interpret complex claims data.
• Excellent communication and leadership abilities; comfortable presenting to executive audiences.
• Experience with telehealth platforms and virtual care delivery models.

What We Offer

• Annual salary of $158,166.58
• Fully remote work arrangement with flexible scheduling.
• Comprehensive health, dental, and vision benefits.
• Retirement savings plan with company match.
• Professional development and continuing medical education support.

How to Apply

Ready to make a difference in the lives of millions? Submit your application through the UnitedHealth Group careers portal and reference requisition number 2273856.

Frequently Asked Questions

Is this position fully remote?

Yes, the role is virtual and can be performed from any location, though the position is headquartered in Boston, Suffolk County.

What clinical background is required?

A board‑certified Oncology physician with at least five years of clinical experience and a valid US medical license.

What is the salary for this role?

The annual salary is $158,166.58.