Maryland Licensed Medical Director

A company is looking for a Health Plan Medical Director Physician.

Key Responsibilities

Develop and execute case management, disease management, and population health management operations

Conduct daily reviews of inpatients, precertification requests, and emergency department visits

Make utilization review decisions based on medical necessity and coverage criteria

Required Qualifications

5 years of clinical experience with leadership responsibilities

Health plan experience preferred

Medical licensing in DC and Maryland required

Must reside in the DC / Maryland area

Experience in primary care is beneficial