Senior Medical Director, Utilization Management - Remote

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

Benefits offered by this job

Health plan (medical, dental, vision)

Generous paid time off

Stock options

Bonus eligibility

Parental leave

Job summary

Devoted Health is seeking a Medical Director in Utilization Management to lead clinical reviews, mentor teams, and drive evidence-based care across the plan. You will partner with utilization management, clinical services, and data analytics to optimize resource use while ensuring quality.

The role requires an MD or DO with at least five years of clinical practice and three years in medical director roles within a health plan or hospital.

Qualifications

• MD/DO medical degree required.
• Five+ years of clinical practice experience.
• Three+ years as medical director in UM/medical management.

Responsibilities

• Assist in development and maintenance of an efficient UM program.
• Perform clinical reviews (e.g., quality of care) and peer discussions.
• Participate in inter-rater reliability activities.
• Analyze utilization data and identify improvement opportunities.
• Provide mentorship and leadership to clinical teams.
• Engage in committees and workgroups to meet objectives.
• Support utilization management, quality management, and care management programs.
• Serve as clinical resource across Devoted Health Plan.
• Participate in acute and post-acute clinical rounds.
• Discuss medical policies and resource use with network physicians.

Skills

Utilization management

Clinical leadership

Medical director

Leadership

Education

MD/DO

Job description

Devoted Health is seeking a Medical Director in Utilization Management to lead clinical reviews, mentor teams, and drive evidence-based care across the plan. You will partner with utilization management, clinical services, and data analytics to optimize resource use while ensuring quality.

The role requires an MD or DO with at least five years of clinical practice and three years in medical director roles within a health plan or hospital.