About the Role:
Medical Director plays a critical role in assuring that the Utilization Management (UM) program is running well, is focusing on the highest value opportunities and has an effective prior authorization program and Medical Review Guidelines (MRG). The Medical Director is a leadership role within the Medical Director Group and has the ability to positively influence the Associate Medical Directors. The Medical Director reports to the Senior Medical Director and works with him/her collaboratively to ensure the Prior Authorization and concurrent reviews are done efficiently and effectively and are evidence-based. In addition, the Medical Director will work on committees and projects as assigned and will be able to advise on coding issues and medical necessity as requested.
Responsibilities:
Required Skills:
Equal Opportunity Statement:
Include a statement on commitment to diversity and inclusivity.
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