State Licensed Associate Medical Director

A company is looking for an Associate Medical Director, Utilization Management Review.

Key Responsibilities

Support the clinical content team by reviewing clinical decision guidelines and evidence-based literature

Provide timely medical reviews and clinical determinations based on evidence-based criteria

Conduct peer-to-peer discussions with treating providers to clarify clinical information and explain review outcomes

Required Qualifications and Education

Completed US-based residency program and fellowship in Internal Medicine

Board certification as an MD or DO with a current unrestricted state license to practice medicine

5+ years of clinical practice beyond residency / fellowship in Internal Medicine

1+ years of managed care utilization review experience desirable

Subspecialty fellowship training in Hematology Oncology, Medical Oncology, Gastroenterology, Endocrinology, Urology, or Sleep Medicine desirable