Connecticut Licensed Medical Director

Job Summary

A company is looking for a Medical Director (CT).

Key Responsibilities

• Provides medical oversight and determines appropriateness and necessity of health care services for members
• Supports utilization management programs and evaluates their effectiveness, ensuring quality member care
• Educates providers on utilization practices and participates in quality assurance and accreditation processes

Required Qualifications

• At least 3 years of health care experience, including 2 years of medical practice experience
• Active and unrestricted MD or DO license in Connecticut
• Board certification
• Knowledge of relevant laws and regulatory requirements affecting medical staff
• Experience working in a collaborative, matrixed organization