UM Medical Director – Family Medicine or Internal Medicine – Remote

The UnitedHealth Group is seeking a UM Medical Director specializing in Family Medicine or Internal Medicine to work remotely while being based in Springfield, Hampden County, US. This senior role offers a fixed annual salary of $126,326.60 and focuses on utilization management and clinical operations.

Key Responsibilities

• Lead utilization management (UM) reviews for Family Medicine and Internal Medicine cases, ensuring appropriate care pathways and compliance with clinical guidelines.
• Collaborate with physicians, pharmacists, and care teams to optimize patient outcomes and cost‑effective treatment plans.
• Develop, update, and enforce evidence‑based medical policies and protocols.
• Provide clinical expertise for appeals, prior authorizations, and case reviews.
• Analyze utilization data, identify trends, and recommend process improvements.
• Mentor and train junior medical staff on UM best practices.
• Maintain up‑to‑date knowledge of regulatory requirements and payer standards.

Required Qualifications

• MD or DO degree with board certification in Family Medicine or Internal Medicine.
• Active, unrestricted medical license in the United States.
• Minimum 5 years of clinical practice experience, with at least 2 years in utilization management or medical direction.
• Strong analytical skills and proficiency with electronic health record (EHR) systems.
• Excellent communication and interpersonal abilities to work with multidisciplinary teams.
• Commitment to diversity, equity, and inclusion in healthcare delivery.

Benefits & Compensation

• Annual salary: $126,326.60 (fixed)
• Comprehensive health, dental, and vision coverage
• Retirement savings plan with company match
• Paid time off and flexible work‑from‑home arrangements
• Professional development and continuing education support

How to Apply

Submit your resume and a cover letter highlighting your UM experience through the UnitedHealth Group careers portal. Include the requisition number 2349682.

Frequently Asked Questions

What does a UM Medical Director do?

A UM Medical Director oversees utilization management, reviews clinical cases, ensures compliance with medical policies, and collaborates with care teams to improve patient outcomes and cost efficiency.

Is this position fully remote?

Yes, the role is remote, but you must be based in Springfield, Hampden County, US.

What qualifications are required?

An MD or DO with board certification in Family or Internal Medicine, an active US medical license, and at least 5 years of clinical experience, including UM or medical direction.