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State Licensed Associate Medical Director
State Licensed Associate Medical DirectorVirtualVocations • Sterling Heights, Michigan, United States
State Licensed Associate Medical Director

State Licensed Associate Medical Director

VirtualVocations • Sterling Heights, Michigan, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

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

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Associate Medical Director • Sterling Heights, Michigan, United States

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