WellMed, part of the Optum family, is seeking a Medical Director for Utilization Management to support utilization determinations and identify trends in order to improve the UM program. The role involves developing and maintaining efficient UM processes, staying current with CMS criteria, and participating in case reviews and medical necessity determinations.
Qualified candidates will have an MD/DO/MBBS, board certification in FM/IM/EM, an active unrestricted license, and 5+ years post-residency
#J-18808-LjbffrRemote Medical Director, Utilization Management in san antonio at Unknown Company
This position is listed as full time and onsite.