Remote Medical Director, National UM & Inpatient Utilization

A leading health insurance provider is seeking a Medical Director to join their team in Nashville, TN. The role requires conducting medical necessity reviews for inpatient services, ensuring compliance with regulations, and collaborating with external providers. The ideal candidate will hold an MD or DO degree with over 5 years of clinical patient care experience and possess excellent communication skills.

Additional responsibilities include managing productivity metrics and participating in team activities focused on organizational goals.
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