TN Visa Medical Director Jobs
Medical Director roles qualify for TN visa sponsorship under the USMCA's physician and surgeon category, covering both clinical leadership and administrative medicine positions. Canadian citizens can secure TN status at the port of entry or by mail; Mexican citizens apply at a U.S. consulate. A confirmed job offer from a U.S. healthcare organization is required before filing.
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INTRODUCTION
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs.
The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.
The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits for all lines of business. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES:
- Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations
- Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements
- Engage with requesting providers as needed in peer-to-peer discussions
- Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews
- Participate in daily clinical rounds as requested
- Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy
- Communicate and collaborate with other internal partners
- Call coverage rotation
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- M.D or D.O
- Active unrestricted license to practice medicine
- Board certification in Physical Medicine & Rehabilitation, Internal Medicine, or Family Medicine
- 5+ years of clinical practice experience after completing residency training
- Sound understanding of Evidence Based Medicine (EBM)
- Proven solid PC skills, specifically using MS Word, Outlook, and Excel
PREFERRED QUALIFICATIONS:
- Multiple State Licenses
- Experience in utilization and clinical coverage review
- Data analysis and interpretation aptitude
- Proven innovative problem-solving skills
- Proven excellent oral, written, and interpersonal communication skills, facilitation skills
- Proven excellent presentation skills for both clinical and non-clinical audiences
- Reside in Pacific Time Zone
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Compensation for this specialty generally ranges from $248,500.00 - $373,000.00. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

INTRODUCTION
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs.
The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.
The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits for all lines of business. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES:
- Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations
- Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements
- Engage with requesting providers as needed in peer-to-peer discussions
- Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews
- Participate in daily clinical rounds as requested
- Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy
- Communicate and collaborate with other internal partners
- Call coverage rotation
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- M.D or D.O
- Active unrestricted license to practice medicine
- Board certification in Physical Medicine & Rehabilitation, Internal Medicine, or Family Medicine
- 5+ years of clinical practice experience after completing residency training
- Sound understanding of Evidence Based Medicine (EBM)
- Proven solid PC skills, specifically using MS Word, Outlook, and Excel
PREFERRED QUALIFICATIONS:
- Multiple State Licenses
- Experience in utilization and clinical coverage review
- Data analysis and interpretation aptitude
- Proven innovative problem-solving skills
- Proven excellent oral, written, and interpersonal communication skills, facilitation skills
- Proven excellent presentation skills for both clinical and non-clinical audiences
- Reside in Pacific Time Zone
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Compensation for this specialty generally ranges from $248,500.00 - $373,000.00. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See all 1,332+ Medical Director jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Medical Director
Clarify your credential equivalency early
Canadian and Mexican medical degrees must align with U.S. specialty board standards for the Medical Director role. Get your postgraduate training and licensure documents assessed before outreach, since employers will ask immediately during screening.
Target healthcare systems with active TN hiring
Focus on hospital networks, managed care organizations, and large physician practice groups. These employers already understand TN documentation requirements for physician leadership roles and are less likely to stall on sponsorship eligibility questions.
Separate clinical leadership from pure administrative roles
TN classification under the physician category requires the role to involve medical practice or clinical oversight, not solely executive administration. Review the job description carefully to confirm it reflects direct medical leadership before accepting an offer.
Use Migrate Mate to find verified sponsoring employers
Search Migrate Mate to identify U.S. employers actively hiring Medical Directors with TN visa sponsorship. The platform surfaces roles from organizations already familiar with USMCA professional categories, reducing back-and-forth with employers unfamiliar with TN requirements.
Prepare a detailed support letter with your employer
The employer's TN support letter must describe your specific Medical Director duties, confirm your Canadian or Mexican citizenship, and state that the role meets the physician specialty occupation standard. Vague letters are the most common reason CBP requests additional documentation at the border.
Understand the difference between Canadian and Mexican filing paths
Canadian citizens can apply for TN status directly at a U.S. port of entry without a prior visa stamp, making same-day activation possible. Mexican citizens must schedule a consular interview, so build in additional lead time after receiving your job offer.
Medical Director jobs are hiring across the US. Find yours.
Find Medical Director JobsMedical Director TN Visa: Frequently Asked Questions
Does a Medical Director role qualify for TN visa status?
Yes, provided the role involves clinical oversight or medical practice leadership rather than purely administrative duties. TN visa classification under the physician category requires that your Medical Director position falls within the practice of medicine. Roles where clinical responsibility has been removed in favor of executive management may not qualify without a carefully drafted employer support letter that establishes the medical nature of the work.
How does TN visa sponsorship for Medical Directors compare to H-1B?
TN has no annual lottery and no cap for Canadian citizens, which means you can start as soon as an employer extends an offer and documentation is ready. H-1B requires lottery selection in April for an October start, making it an unreliable path for urgent physician leadership hiring. Mexican citizens face a TN allocation limit, but consular processing is still faster and more predictable than waiting for H-1B lottery results.
Where can I find Medical Director jobs with TN visa sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals seeking U.S. roles under the TN visa. Searching there surfaces Medical Director positions from employers already familiar with USMCA professional categories, which shortens the sponsorship conversation and avoids wasted time with organizations that have no experience filing for TN physician roles.
What documents does my employer need to prepare for my TN application?
Your employer must provide a detailed support letter on company letterhead that describes your Medical Director duties, confirms your citizenship, states that the role qualifies as a physician specialty occupation, and includes the anticipated length of employment. Supporting materials typically include your medical degree credentials, postgraduate training documentation, and any relevant U.S. or provincial board certifications. CBP reviews all of this at the port of entry for Canadians or at the consulate for Mexican citizens.
Can I renew TN status in a Medical Director role indefinitely?
TN status is granted in three-year increments with no statutory limit on renewals, provided you maintain continuous qualifying employment. Canadian citizens can renew at a port of entry or through USCIS by mail; Mexican citizens renew through consular processing. Each renewal requires current employer documentation, so maintaining an updated support letter and credential file makes subsequent renewals straightforward.
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