Medical Director UM and BH
Location: Remote
Compensation: Salary
Staff Reviewed: Tue, Oct 29, 2024
This job expires in: 21 days
Job Summary
A company is looking for a Medical Director, UM and BH (Part Time), Remote.
Key Responsibilities
- Provide clinical leadership and oversight to the interdisciplinary Medical Management team
- Develop and implement a Utilization Management program to ensure high-quality patient care
- Maintain compliance with accreditation standards and manage the appeals process
Required Qualifications, Training, and Education
- Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), or Bachelor of Medicine, Bachelor of Surgery (MBBS) degree
- Unrestricted current and valid medical license in a state or territory of the United States
- Minimum of three years of substantial direct patient care experience
- Completion of a residency program approved by the Accreditation Council for Graduate Medical Education (ACGME)
- Experience in cost-benefit analysis and quality assurance processes preferred
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