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Medical Director, Utilization Management

Company: VirtualVocations
Location: Norwalk
Posted on: April 5, 2025

Job Description:

A company is looking for a Medical Director, Utilization Management Physician to support utilization management initiatives remotely.
Key Responsibilities

Develop and maintain an efficient utilization management program
Participate in case reviews and medical necessity determinations
Conduct post-service reviews for medical necessity and benefits determination coding

Required Qualifications

Doctor of Medicine (M.D.), Doctor of Osteopathy (D.O.), or M.B.B.S
Board certification in Family Medicine or Internal Medicine
An active, unrestricted medical license in any state
5+ years of post-residency clinic practice experience
Proficiency with Microsoft Office

Keywords: VirtualVocations, San Diego , Medical Director, Utilization Management, Executive , Norwalk, California

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