Pennsylvania Licensed Medical Director

A company is looking for a Medical Director - Utilization Management.

Key Responsibilities :

Participate in daily utilization management and quality improvement review processes

Provide expedited review and determination of medically pressing issues

Communicate and educate network providers on clinical guidelines and standards

Required Qualifications :

Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited school

PA Medical license required

5-10 years of clinical experience preferred

Managed care experience is essential

Internal Medicine, Family Medicine, or Emergency Medicine background is highly preferred