Remote Medical Director — Medicare Utilization & UM

A leading healthcare organization seeks a Medical Director to provide medical interpretations and determinations for services. The ideal candidate will have an MD or DO degree, at least 5 years of clinical experience, and a current, unrestricted medical license. This role requires strong communication skills and the ability to adapt to evolving workflows. Responsibilities include conducting medical necessity reviews and maintaining compliance with national guidelines.

The position offers competitive salary and benefits, including a bonus incentive plan. Hybrid working is available.
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