New Jersey Licensed Medical Director

Job Summary

A company is looking for a Medical Director to oversee medical management activities and provide leadership in New Jersey.

Key Responsibilities

• Support all lines of business, collaborating with various teams and providers
• Guide and consult with nurse reviewers on medical management processes
• Analyze data on case management and utilization, addressing variances in performance

Required Qualifications, Training, and Education

• Board Certification in a recognized medical specialty and an active unrestricted MD or DO license
• 5-7 years of clinical experience with data management skills
• Proficiency in Tableau or similar software and MS Office products
• Experience in continuous improvement preferred
• Knowledge of Utilization Management and health insurance payer business operations