Integra Partners is seeking an experienced Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a high-volume UM operation. The role emphasizes adherence to Medicare/Medicaid guidelines, NCQA standards, and internal policies in a process-driven environment.
The position is remote, requires MD/DO with board certification, and focuses on timely, evidence-based decisions, documentation rigor, and collaboration with UM staff and external reviewers.
#J-18808-LjbffrChief Medical Reviewer, DMEPOS Utilization (Remote) in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.