Enjoy the opportunity to use your clinical knowledge while working in the comfort of your home. As Medical Director, you will be working remotely with a team of your colleagues to provide utilization management services to one or more of the company’s clients.

Primary Responsibilities:

• Work to improve quality and promote evidence-based medicine
• Support internal case management, utilization management and social work teams both individually and in IDT setting
  Prior Authorization, Utilization Management and Utilization Review
• Support vendor relationships to improve care of our members
  Support initiatives that enhance quality throughout our national network
• Ensure the right service is provided at the right time for each member
• Work within medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review