Medical Director - New England Region
October 2
Description
• Oversee utilization review for health systems and providers in New England. • Perform in-hospital utilization reviews and quality activities. • Focus on overseeing utilization review and quality assurance of inpatient hospitalizations, prior authorizations, and appeals. • Participate in development, implementation, and evaluation of clinical / medical programs. • Support Medical Management staff ensuring timely responses to members and providers.
Requirements
• Two (2) or more years of experience in Health Care Delivery System. • Active and current medical license without encumbrances. • M.D. or D.O., Active and Current Board Certification in an ABMS or AOA recognized specialty.
Benefits
• Enjoy the rewards of an organization that puts heart into caring for colleagues and communities. • Full range of medical, dental, and vision benefits. • Eligible for 401(k) retirement savings plan. • Employee Stock Purchase Plan available for eligible employees. • Fully-paid term life insurance plan for eligible employees. • Short-term and long term disability benefits offered. • Numerous well-being programs. • Education assistance, free development courses. • CVS store discount and discount programs with participating partners. • Paid Time Off (PTO) and paid holidays throughout the calendar year.
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