DC and MD Licensed Medical Director

A company is looking for a Health Plan Medical Director Physician. Key Responsibilities Oversee daily operations of case management, disease management, and utilization review Conduct reviews of inpatients, precertification requests, and emergency department visits Ensure utilization review decisions align with medical necessity and coverage criteria Required Qualifications 5 years of clinical experience with progressive leadership roles Preferred experience in health plan operations Must reside in the DC/Maryland area Medical licensing in DC and Maryland is required Experience in telehealth is a plus

Jun 9, 2025 - 19:30

A company is looking for a Health Plan Medical Director Physician. Key Responsibilities Oversee daily operations of case management, disease management, and utilization review Conduct reviews of inpatients, precertification requests, and emergency department visits Ensure utilization review decisions align with medical necessity and coverage criteria Required Qualifications 5 years of clinical experience with progressive leadership roles Preferred experience in health plan operations Must reside in the DC/Maryland area Medical licensing in DC and Maryland is required Experience in telehealth is a plus