The Medical Director will work closely with the team to perform all types of utilization management reviews, including pre-service, post-service, concurrent review, and appeals. The role will involve discussing cases with physician providers, applying health plan review hierarchy, and collaborating with case managers.
Requirements
- Current unrestricted Florida medical license as a Doctor of Medicine or Doctor of Osteopathic Medicine
- Board Certification or Board eligibility by American Board of Medical Specialties or equivalent
- 5+ years of clinical experience
- Experience working in a dynamic, fast-paced environment
- Experience working both independently and in a team environment
- Exceptional verbal and written communication
Benefits
- Medical, dental, vision, life, and global travel health insurance
- Income protection benefits: life insurance, short- and long-term disability programs
- Leave programs to support personal circumstances
- Retirement Savings Plan including employer match
- Paid time off, volunteer time off, 10 holidays, and 2 well-being days
- Additional voluntary benefits available
- Comprehensive wellness program