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Medical Director, Care Management & Utilization; Remote

Remote / Online - Candidates ideally in
Yonkers, Westchester County, New York, 10701, USA
Listing for: Florida Blue Group
Remote/Work from Home position
Listed on 2026-10-03
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor, Emergency Medicine Physician
Salary/Wage Range or Industry Benchmark: 224000 - 364000 USD Yearly USD 224000.00 364000.00 YEAR
Job Description & How to Apply Below
Position: Medical Director, Care Management & Utilization (Remote)

Florida Blue Group seeks an experienced Medical Director to lead utilization management reviews across pre-service, post-service, and concurrent pathways. You will discuss cases with physicians, apply policy hierarchies for medical necessity decisions, and mentor teams in benefits interpretation.

You will bring Florida license, ABMS certification, and 5+ years of clinical experience to a fast-paced, collaborative environment offering comprehensive benefits and a competitive salary range.

We are looking to fill the Medical Director, Care Management & Utilization (Remote) position at Florida Blue Group in Town of Florida, NY, United States.

Learn more about the Medical Director, Care Management & Utilization (Remote) role in the description above.

We appreciate your interest in this position.

Join Florida Blue Group and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

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