Clinical Review Medical Director – Neurology – Remote

Job Summary

UnitedHealth Group is seeking a Clinical Review Medical Director – Neurology to work remotely from Springfield, Hampden County, MA. This senior role leads neurological medical review processes, ensuring high‑quality, evidence‑based patient care for Optum’s national network.

Key Responsibilities

• Oversee clinical review of neurology cases, applying evidence‑based guidelines and regulatory standards.
• Provide expert medical direction to review teams, auditors, and external providers.
• Develop and update neurology protocols, pathways, and quality metrics.
• Collaborate with data analytics, pharmacy, and care‑management teams to improve outcomes and reduce costs.
• Lead peer‑review meetings, case conferences, and educational sessions for clinicians.
• Ensure compliance with CMS, state, and Optum policies.
• Participate in performance reporting and continuous improvement initiatives.

Qualifications

• MD or DO with board certification in Neurology.
• Minimum 7 years of clinical practice experience, including prior medical director or supervisory roles.
• Strong knowledge of Medicare/Medicaid regulations and utilization management.
• Excellent analytical, communication, and leadership skills.
• Ability to work independently in a remote environment while collaborating across national teams.

Compensation & Benefits

Base salary: $128,363.69 annually. UnitedHealth Group offers comprehensive health, dental, vision, retirement plans, tuition assistance, and generous paid time off.

How to Apply

Submit your resume and a cover letter highlighting your neurology expertise and leadership experience through the UnitedHealth Group career portal. Requisition number: 2349681.

Frequently Asked Questions

What does a Clinical Review Medical Director in Neurology do?

They lead the clinical review of neurology cases, develop protocols, ensure regulatory compliance, and mentor review teams to improve patient outcomes.

Is this position fully remote?

Yes, the role is remote, allowing you to work from anywhere in the United States, though the job posting is based in Springfield, Hampden County, MA.

What qualifications are required?

A medical degree (MD/DO) with board certification in Neurology, at least 7 years of clinical experience, and prior leadership or medical director experience.