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Lead Medical Director - Utilization Management & Policy

Remote / Online - Candidates ideally in
Seattle, King County, Washington, 98127, USA
Listing for: Remote Jobs
Full Time, Remote/Work from Home position
Listed on 2026-10-03
Job specializations:
  • Doctor/Physician
    Chief Medical Officer / Medical Director, Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 224000 - 364000 USD Yearly USD 224000.00 364000.00 YEAR
Job Description & How to Apply Below

Florida Blue is seeking an experienced physician reviewer to lead utilization management activities across Pre-service, Post-service, and Concurrent Review. You will discuss cases with clinicians, apply strict review hierarchies, and collaborate with Case Managers to ensure timely, compliant decisions for medical necessity.

The role requires Florida licenses, board eligibility or certification, and 5+ years of clinical experience in a fast-paced environment.

This Full Time role is for the Lead Medical Director
- Utilization Management & Policy role at Remote Jobs.

This posting is for the Lead Medical Director
- Utilization Management & Policy role at Remote Jobs, based in United States.

We are looking to fill the Lead Medical Director
- Utilization Management & Policy position at Remote Jobs in United States.

The Lead Medical Director
- Utilization Management & Policy role at Remote Jobs is now open for applications in United States.

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