Louisiana Licensed Medical Director

Job Summary

To support Medicare Advantage initiatives, the full-time Louisiana Licensed Medical Director will review treatment procedures, provide direction for utilization activities, and facilitate physician committees while working remotely.

Key responsibilities

• Reviews and provides medical expertise on utilization, case, and disease management activities
• Participates in internal operations related to quality assurance and accreditation efforts
• Conducts peer reviews and consultations regarding prior authorization and medical necessity determinations

Required qualifications

• Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) required
• Current, unrestricted medical license to practice in Louisiana
• 7 years of clinical practice experience required, with 3 years of direct patient care
• Experience in utilization, case, or disease management preferred
• Board certification in a specialty recognized by ABMS required