Maryland Licensed Medical Director

A company is looking for a Health Plan Medical Director Physician.

Key Responsibilities

Participate in the development and execution of case management, disease management, and population health management

Conduct daily reviews of current inpatients, precertification requests, pharmacy requests, and emergency department visits

Ensure utilization review decisions are made according to Utilization Management criteria based on medical necessity

Required Qualifications

5 years of clinical experience with progressively responsible leadership experience

Health plan experience preferred

Must reside in the DC / Maryland area

Possess medical licensing in DC and Maryland

Experience in primary care is required