Pennsylvania Licensed Medical Director

Job Summary

A company is looking for a Medical Director - Utilization Management.

Key Responsibilities:

• Participate in daily utilization management and quality improvement review processes
• Provide expedited review and determination of medically pressing issues
• Communicate and educate network providers on clinical guidelines and standards

Required Qualifications:

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited school
• PA Medical license required
• 5-10 years of clinical experience preferred
• Managed care experience is essential
• Internal Medicine, Family Medicine, or Emergency Medicine background is highly preferred