Indiana Licensed Medical Director

Job Summary

To support utilization management functions, the part-time Indiana Licensed Medical Director will provide medical leadership, perform case reviews, and assist in planning quality improvement initiatives while working remotely for approximately 20 hours per week, prioritizing Thursdays and Fridays.

Key responsibilities

• Provides medical leadership for utilization management and medical review activities
• Performs case reviews and appeals for all health plans
• Assists CMO in establishing goals and policies to enhance quality and cost-effectiveness of care

Required qualifications

• Medical Doctor or Doctor of Osteopathy, board certified preferably in a primary care specialty
• Active Indiana state medical license without restrictions
• Previous experience within a managed care organization preferred
• Experience treating or managing care for a culturally diverse population preferred
• Coursework in Health Administration, Health Financing, Insurance, or Personnel Management is preferred