Associate Medical Director, Utilization Management

New

Active medical license in Florida, Arizona or North Carolina, OR to physicians who hold an IMLC compact licenseFull-TimeManager

Salary240,120 - 315,157 USD per year

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Job Details

Experience: 3+ years of clinical practice, 2+ years of utilization review experience

Requirements

Board certification as an MD or DO
Current unrestricted license to practice medicine
3+ years of clinical practice
2+ years of utilization review experience in a managed care plan

Responsibilities

Provide timely medical reviews meeting quality parameters.
Make clinical determinations based on evidence-based criteria.
Document communications and decisions accurately in workflow tools.
Conduct peer-to-peer discussions with treating providers.
Manage direct reports and oversee team performance.
Ensure team meets turnaround times for clinical reviews.
Collaborate with departments on Utilization Management Operations.
Lead key projects and drive initiatives to completion.

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240,120 - 315,157 USD per year

Apply Now