Medical Director II, Utilization Management

Job Summary

A company is looking for a Medical Director II, Utilization Management.

Key Responsibilities

• Develop and maintain an efficient Utilization Management (UM) program
• Conduct clinical reviews and peer discussions, and participate in utilization data analysis
• Provide clinical support and mentorship to teams, while serving as a subject matter expert

Required Qualifications and Experience

• Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O) required
• Five or more years of clinical practice experience
• Three years of previous medical director experience in utilization management or medical management