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Massachusetts Licensed Medical Director
VirtualVocationsSan Jose, California, United Statesjob_description.job_card.30_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Medical Director to oversee clinical management and utilization activities.
Key Responsibilities :
Provide clinical case review and oversight for utilization management activities
Conduct reviews of prior authorizations and medical necessity determinations
Collaborate with healthcare professionals to improve population health and care quality
Required Qualifications :
Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school
8-10+ years of related experience, including 5 years of direct clinical experience
3 years of experience in medical management within a managed care setting
Active or lifetime board certification in a recognized medical specialty
Current unrestricted licensure as an MD or DO in at least one state, preferably Massachusetts or New Hampshire
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Medical Director • San Jose, California, United States
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