Medical Director, Medical Management

This Medical Director, Medical Management role ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards, reviewing escalated cases and participating in case and disease management.

Requirements

• Conduct electronic review of escalated cases against medical policy criteria
• Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned
• Compose clear and concise rationales for member and provider determination notifications

Benefits

• Paid Time Off
• 401k Matching
• Retirement Plan
• Visa Sponsorship
• Four Day Work Week
• Generous Parental Leave
• Tuition Reimbursement
• Relocation Assistance