CAI is seeking a Medical Director to oversee utilization management in line with current clinical standards. This full-time remote role requires leadership in a multidisciplinary setting and accountability for medical policy adherence.
You will conduct electronic reviews, determine medical necessity, and provide clear rationales for determinations while collaborating with physician peers and adhering to regulatory standards (NCQA, URAC, CMS, DOH, DOL).
#J-18808-LjbffrLead Director OF Utilization Management in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.