Senior Medical Director - Utilization Management & Quality

Clover Health; United States; Remote; USD 150.000 - 210.000; Vollzeit

Benefits dieser Stelle

Equity

Bonus

401(k) match

Medical insurance

Dental insurance

Vision insurance

Flexible time-off

Parental leave

Zusammenfassung

Clover Health is seeking a Lead Utilization Management Medical Director in the United States. You will lead the UM team, review complex cases, and chair the Utilization Management Committee to drive evidence-based decisions.

The role partners with clinical and operational teams to maintain policies and improve quality, while evaluating outpatient referrals and inpatient admissions for medical appropriateness. Competitive compensation includes equity, bonus, and 401(k) match.

Aufgaben

• Lead a team, review complex cases, and chair the Utilization Management Committee.
• Partner with clinical and operational teams to maintain policies and improve quality.
• Evaluate outpatient referrals and inpatient admissions for medical appropriateness.

Jobbeschreibung

Clover Health is seeking a Lead Utilization Management Medical Director in the United States. You will lead the UM team, review complex cases, and chair the Utilization Management Committee to drive evidence-based decisions.

The role partners with clinical and operational teams to maintain policies and improve quality, while evaluating outpatient referrals and inpatient admissions for medical appropriateness. Competitive compensation includes equity, bonus, and 401(k) match.