Medicaid Medical Director — Remote Utilization Leader

A leading healthcare organization is seeking a Medical Director to ensure health claims compliance and provide clinical interpretation on service agreements. The ideal candidate should have a medical degree (MD/DO) and 5+ years of clinical patient care experience, ideally with Medicare populations. Responsibilities include utilization management of care received by members and engaging in grievance reviews. A commitment to collaboration within teams and excellent communication skills are essential. The position is remote, with occasional travel required. #J-18808-Ljbffr