Medical Director, Utilization Management
Company: VirtualVocations
Location: Norwalk
Posted on: April 9, 2025
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Job Description:
A company is looking for a Medical Director, Utilization
Management Physician.
Key Responsibilities
Develop and maintain an efficient Utilization Management (UM)
program for health plan members
Participate in case review, medical necessity determination, and
ensure compliance with regulations
Provide quality assurance, education, and support to physicians
regarding UM policies and procedures
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 (any state)
Five or more years of post-residency clinical practice
experience
Proficiency with Microsoft Office applications
Keywords: VirtualVocations, San Diego , Medical Director, Utilization Management, Executive , Norwalk, California
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