Medical Director- Untilization Review- REMOTE Job at Momentum Resource Solutions, New York, NY

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  • Momentum Resource Solutions
  • New York, NY

Job Description

Job Description

Job Description

Medical Director- Untilization Review- REMOTE

The Medical Director is responsible for assisting in ensuring appropriate health care utilization management (UM). The Medical Director serves as a physician and policy advisor to the Plan’s Chief Medical Officer. 

80-90% of the time will be doing utilization reviews and 10-20% sitting on committees, medical policy development, fraud waste and abuse investigations. If you speak to someone who is working as a physician, ask them why they want to transition into UM work.

  • Must have MD and board certified
  • Need to have experience with Utilization Management Reviews
  • Plus: Pediatrician
  • Plus: Managed Care experience
  • Plus: InterQual experience
  • 100% remote
  • Needs to be licensed in NY

 

Job Tags

Remote job,

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