Remote Utilization Management Medical Director - Part-Time

Devoted Health, Inc.; United States; On-site; USD 165,312 - 247,968; Part time

Benefits offered by this job

Flexible schedule

Fully remote work

Job summary

Devoted Health is seeking an Utilization Management Medical Director Contractor to work remotely for the United States. This part-time role requires broad state licensure coverage and Medicare Utilization Management experience to review cases, appeals, and quality of care, while collaborating with clinical and non-clinical staff.

You will participate in peer-to-peer discussions, inter-rater reliability activities, and acute and post-acute rounds, acting as a clinical resource and SME.

Qualifications

• Active medical license in multiple states with broad coverage.
• Experience with Medicare Utilization Management.
• Comfort learning new technologies and systems.
• Willingness to obtain additional state licenses.

Responsibilities

• Perform utilization reviews (Part A, Part B, appeals, quality of care) and peer-to-peer discussions.
• Participate in inter-rater reliability activities.
• Serve as clinical SME to clinical and non-clinical staff throughout Devoted Health Plan.
• Active participation in acute and post-acute clinical rounds.

Skills

State licensure

Medicare UM experience

Learning new technologies

Additional licenses

Job description

Devoted Health is seeking an Utilization Management Medical Director Contractor to work remotely for the United States. This part-time role requires broad state licensure coverage and Medicare Utilization Management experience to review cases, appeals, and quality of care, while collaborating with clinical and non-clinical staff.

You will participate in peer-to-peer discussions, inter-rater reliability activities, and acute and post-acute rounds, acting as a clinical resource and SME.