Quant Dynamics Solutions seeks a Medical Director (Utilization Management) to lead clinical integrity for Medicare Advantage UM, overseeing inpatient and post-acute reviews and ensuring timely, evidence-based determinations. You will collaborate with care management, providers, and internal stakeholders to align care with clinical and regulatory standards.
The role requires leadership in peer-to-peer discussions, policy development, and compliance with NCQA/CMS while contributing to quality
#J-18808-LjbffrMedical Director, Utilization Management & Care Optimization in nevada at Unknown Company
This position is listed as full time and onsite.