Senior Medical Director – Utilization Management

Devoted; United States; Remote; USD 280,000 - 345,000; Full time

Benefits offered by this job

Health plan

Generous PTO

Stipend for mobile/internet

Stock options

Bonus eligibility

Parental leave

401K

And more

Job summary

Devoted Health is seeking a Medical Director of Utilization Management to lead and evolve our UM program, ensuring evidence-based care within quality guidelines. You will perform clinical reviews, mentor clinical teams, and engage with physicians to optimize resource use and patient outcomes.

The role requires an MD or DO with 5+ years of clinical practice and 3+ years in a medical director capacity, within a health plan or hospital setting. Competitive salary and total rewards apply.

Qualifications

• Doctorate from an accredited school of medicine (M.D. or D.O.)
• Five or more years of clinical practice experience.
• Three (3) years of previous medical director experience in utilization management or medical management.

Responsibilities

• Assist in development and maintenance of an efficient UM program.
• Perform clinical reviews and peer discussions (e.g., quality of care).
• Participate in inter-rater reliability activities.
• Analyze utilization data and suggest improvements.
• Provide mentoring and leadership to clinical teams and support growth and fiscal responsibility.
• Participate in committees and workgroups to achieve department goals.
• Support utilization management, quality management, and care management programs.
• Serve as clinical resource and SME to staff across Devoted Health Plan.
• Participate in acute and post-acute clinical rounds.
• Discuss medical policies and resource use with physicians in the Devoted network.

Skills

Medical director experience

Clinical practice

Utilization management

Education

MD or DO

Job description

Devoted Health is seeking a Medical Director of Utilization Management to lead and evolve our UM program, ensuring evidence-based care within quality guidelines. You will perform clinical reviews, mentor clinical teams, and engage with physicians to optimize resource use and patient outcomes.

The role requires an MD or DO with 5+ years of clinical practice and 3+ years in a medical director capacity, within a health plan or hospital setting. Competitive salary and total rewards apply.