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Medical Director, Utilization & Quality

Job in Appleton, Outagamie County, Wisconsin, 54914, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-10-09
Job specializations:
  • Doctor/Physician
    Chief Medical Officer / Medical Director, Healthcare Consultant, Medical Doctor
Salary/Wage Range or Industry Benchmark: 186000 - 363000 USD Yearly USD 186000.00 363000.00 YEAR
Job Description & How to Apply Below

Molina Healthcare provides medical oversight to ensure appropriate and cost-effective care for members in Wisconsin, aiming to improve efficiency and satisfaction for members and providers. The role contributes to strategy and leadership in quality and outcomes across the network.

Key duties include evaluating medical necessity, guiding utilization practices, and leading compliance with NCQA/URAC, Medicare and Medicaid guidelines while educating providers and managing quality assurance

As a Medical Director, Utilization & Quality, you will play an important part at Molina Healthcare in WI, United States.

We are currently recruiting a Medical Director, Utilization & Quality for our team in WI, United States.

This is a great opening to take on the Medical Director, Utilization & Quality role at Molina Healthcare.

We invite applications for the Medical Director, Utilization & Quality position located in WI, United States.

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