Utilization Management Medical Director

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct clinical evaluations (including part A, B, appeals, and quality of care) and engage in peer-to-peer discussions.

• Take part in inter-rater reliability initiatives.

• Act as a clinical resource and subject matter expert for both clinical and non-clinical personnel across the Devoted Health Plan.

• Actively engage in acute and post-acute clinical rounds.

⛳️ Requirements

• Comprehensive state licensure coverage.

• Experience in Medicare Utilization Management.

• Ability to learn and adapt to new technologies with ease.

• Openness to obtaining additional state licenses.

🏝️ Benefits

• Flexible work schedule.

• Fully remote employment.

• Employer-sponsored health, dental, and vision plan with minimal or no premium costs.

• Generous paid time off.

• Monthly stipend of $100 for mobile or internet expenses.

• Stock options available for all employees.

• Bonus eligibility for all positions excluding Director and above; Commission opportunities for Sales roles.

• Parental leave program.

• 401K plan.

• And more....