Field Medical Director, UM

Job Summary

A company is looking for a Field Medical Director, UM Physical Medicine.

Key Responsibilities

• Supports pre-admission review, utilization management, and concurrent and retrospective review processes
• Participates in risk management, claim adjudication, and pharmacy utilization management
• Provides clinical leadership for population health programs and ensures appropriate healthcare delivery for assigned membership

Required Qualifications

• Active Board Certification by an American Certifying Board
• 1+ years of Utilization Review Experience
• Graduate of an accredited medical school with an MD or DO degree
• 3-5 years of clinical practice in a primary care setting preferred
• Active physician license without any restrictions