South Carolina Licensed Medical Director

Job Summary

A company is looking for a Medical Director (SC).

Key Responsibilities

• Provides medical oversight and evaluates the appropriateness and necessity of healthcare services for members
• Supports and monitors the utilization management program to ensure quality member care
• Educates providers on utilization practices and participates in quality assurance and regulatory compliance activities

Required Qualifications

• At least 3 years of healthcare experience, including 2 years of medical practice experience
• Active and unrestricted MD or DO license in South Carolina
• Board certification
• Working knowledge of relevant laws and regulatory requirements
• Ability to work collaboratively within a matrixed organization