A company is looking for an Associate Medical Director, Utilization Management Review.
Key Responsibilities
Support the clinical content team by reviewing clinical decision guidelines and evidence-based literature
Provide timely medical reviews and clinical determinations based on evidence-based criteria
Conduct peer-to-peer discussions with treating providers to clarify clinical information and explain review outcomes
Required Qualifications and Education
Completed US-based residency program and fellowship in Internal Medicine
Board certification as an MD or DO with a current unrestricted state license to practice medicine
5+ years of clinical practice beyond residency / fellowship in Internal Medicine
1+ years of managed care utilization review experience desirable
Subspecialty fellowship training in Hematology Oncology, Medical Oncology, Gastroenterology, Endocrinology, Urology, or Sleep Medicine desirable
Associate Medical Director • Sterling Heights, Michigan, United States