State Licensed Medical Director

A company is looking for a Part-Time Medical Director of Utilization Management.

Key Responsibilities

Develop and maintain an efficient Utilization Management program to meet health plan member needs

Participate in case reviews and medical necessity determinations, serving as a resource for clinical staff

Collaborate with management to propose strategic solutions for improving quality and operational performance

Required Qualifications

Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree

Board Certified Family Practitioner or Internal Medical Specialist preferred

Unrestricted license in at least one state within the United States

5+ years of clinical practice experience and 2+ years in utilization management activities

Experience with administrative oversight in a healthcare or insurance setting