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Maryland Licensed Medical Director
VirtualVocationsFresno, California, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Health Plan Medical Director Physician.
Key Responsibilities
Participate in the development and execution of case management, disease management, and population health management
Conduct daily reviews of inpatients, precertification requests, and pharmacy requests
Ensure utilization review decisions are made according to UM criteria based on medical necessity
Required Qualifications
5 years of clinical experience with progressively responsible leadership experience
Health plan experience preferred
Must reside in the DC / Maryland area
Possess medical licensing in DC and Maryland
Remote telehealth work opportunity
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Medical Director • Fresno, California, United States
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