Pennsylvania Licensed Medical Director

Job Summary

A company is looking for a Medical Director for Managed Care Plans.

Key Responsibilities:

• Perform utilization review for various service requests, including inpatient and outpatient care
• Advise senior management on healthcare service utilization and participate in care management rounds
• Develop and implement policies for effective utilization management and support accreditation processes

Required Qualifications:

• Medical Physician (MD or DO) required
• Valid Pennsylvania Medical License without restriction
• Board Certification in a specialty, preferably primary care
• Minimum 5 years post-residency clinical practice experience
• Experience in managed care with a focus on utilization management