Job Summary

An insurance company is filling a position for a Remote Utilization Management Medical Director.

Must be able to:

• Provide medical reviews that meet stringent quality parameters
• Provide clinical determinations based on evidence-based criteria and internal policies
• Document all communication and decision-making in workflow tools

Required Skills:

• Board certification as an MD or DO with a current unrestricted license to practice medicine
• Licensure in California and Arizona
• 3+ years of clinical practice in one of the following fields: Cardiology, Infectious Disease, GI, Rheumatology
• 1+ years of utilization review experience in a managed care plan