Medical Director Care Management
🏢 Florida Blue
📍 Jacksonville, Duval County
🕒 Publicado hace 1 semana atrás
💵 Salario
$187,112 - $187,112/año
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Descripción del empleo
The Medical Director will work closely with the team to perform all types of utilization management (UM) reviews, including but not limited to Pre-service, Post-service, Concurrent Review and Appeals. Key Responsibilities: * Perform all types of utilization management (UM) reviews, including but not limited to Pre-service, Post-service, Concurrent Review and Appeals * Discuss cases with physician providers (Peer to Peer) * Apply health plan review hierarchy to member contracts, medical policy, …
Fuente: Adzuna