Remote Medical Director, Utilization Management

WellMed, part of the Optum family, seeks a Medical Director for Utilization Management to lead and optimize our UM program. This role focuses on medical necessity, CMS criteria, and program improvements while fostering a collaborative, remote-friendly work environment across the U.S.

You will drive utilization management initiatives, monitor trends, and provide guidance to physicians and staff to ensure compliant, high-quality patient care.