Remote Medical Director: Care Leadership & Utilization

Independence Blue Cross; Philadelphia (Philadelphia County); Remote; USD 200,000 - 250,000; Full time

Job summary

A leading health care provider is seeking a Medical Director to lead the promotion of safe and effective medical care delivery. This fully remote role requires a Medical Doctor or Doctor of Osteopathy degree and experience in family, internal medicine, or pediatrics. Responsibilities include supporting Utilization Management and making clinical coverage decisions. Applicants must have an unrestricted Pennsylvania medical license and current board certification. Join this organization to make a significant impact in the health care sector.

Qualifications

• Unrestricted Pennsylvania license to practice clinical or osteopathic medicine.
• Experience in family medicine, internal medicine, or pediatrics preferred.
• Ability to complete Independence credentialing process.

Responsibilities

• Promote delivery of safe and effective medical care.
• Support Utilization Management and Care Management activities.
• Make coverage and payment determinations based on clinical guidelines.

Skills

Clinical judgement

Collaboration

Population health knowledge

Education

Medical Doctor or Doctor of Osteopathy degree

Current Board Certification by ABMS or AOBMS

Job description

A leading health care provider is seeking a Medical Director to lead the promotion of safe and effective medical care delivery. This fully remote role requires a Medical Doctor or Doctor of Osteopathy degree and experience in family, internal medicine, or pediatrics. Responsibilities include supporting Utilization Management and making clinical coverage decisions. Applicants must have an unrestricted Pennsylvania medical license and current board certification. Join this organization to make a significant impact in the health care sector.