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Medical Director, Utilization & Care Optimization

birmingham, al • Posted 1 weeks ago
Onsite Full Time Physicians & Doctors

Associated Care Ventures, Inc. (ACV) is the Birmingham-based parent company of Simpra Advantage, Inc., an Alabama-domiciled insurer managing SNPS plans and integrated care networks for Alabama Medicaid.

The Medical Director, Utilization Management leads medical necessity determinations, utilization reviews, and appeals, ensuring high-quality, cost-effective care and compliance with CMS, NCQA, state, and accreditation requirements.

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