Confidential is seeking a Medical Director to lead utilization management activities within a multidisciplinary physician team. You will review escalated cases, evaluate medical necessity, and support appeals while guiding policy and disease management initiatives.
You will conduct reviews, participate in peer discussions, ensure regulatory compliance, and collaborate across clinical and compliance teams to improve care processes. Remote work is supported with Eastern daytime coordination.
#J-18808-LjbffrMedical Director: Utilization & Care Leadership in pa at Unknown Company
This position is listed as full time and able to be worked remotely.