Hybrid Associate Medical Director, Utilization Management

Independent Health; United States; Hybrid; USD 250,000 - 300,000; Full time

Benefits offered by this job

Scorecard incentive

Full benefits package

Generous paid time off

Job summary

Independent Health seeks an Associate Medical Director, Utilization Management, to assist the Medical Director in overseeing UM programs, ensuring clinical accuracy and efficiency across prior authorization, step therapy, and quantity limit initiatives.

The role supports corporate direction for UM, develops performance reporting, and collaborates with cross-functional teams. Hybrid on-site work in Williamsville NY is required, with competitive compensation and a broad benefits package.

Qualifications

• Graduate Degree required from an accredited medical school and residency program.
• Master’s degree in healthcare administration, business, or public health preferred.
• Unrestricted, current medical license in NY State or equivalent.
• Board certification in a recognized specialty (ABMS), preferably primary care.

Responsibilities

• Assist Medical Director in oversight of Utilization Management (UM) programs.
• Develop strategic direction/focus for UM programs.
• Prepare annual UM metrics with SVP, Healthcare Services.
• Support HEDIS initiatives and clinical program development.
• Collaborate with internal teams to ensure medical necessity reviews are timely and accurate.
• Serve on IH committees as directed.

Skills

Utilization Management

Clinical leadership

Data interpretation

Interdisciplinary collaboration

Healthcare policy

Education

MD/DO with residency

Master’s in healthcare admin/public health (preferred)

Tools

EMR systems

Job description

Independent Health seeks an Associate Medical Director, Utilization Management, to assist the Medical Director in overseeing UM programs, ensuring clinical accuracy and efficiency across prior authorization, step therapy, and quantity limit initiatives.

The role supports corporate direction for UM, develops performance reporting, and collaborates with cross-functional teams. Hybrid on-site work in Williamsville NY is required, with competitive compensation and a broad benefits package.