Florida Licensed Medical Director

Job Summary

Florida Licensed Medical Director, oversees utilization management reviews including Pre-service, Post-service, Concurrent Review, and Appeals in a full-time capacity.

Key Responsibilities:

• Perform various types of utilization management (UM) reviews
• Collaborate with Case Managers and discuss cases with physician providers
• Ensure compliance with established metrics related to UM review efficiency and quality

Required Qualifications:

• Current unrestricted Florida medical license as a Doctor of Medicine or Doctor of Osteopathic Medicine
• Board Certification or Board eligibility by American Board of Medical Specialties or equivalent
• 5+ years of clinical experience
• Experience in a dynamic, fast-paced environment
• Experience working both independently and in a team environment