Remote Medical Director — Medicare Utilization & UM

A health insurance company is seeking a Medical Director to lead compliance-focused medical reviews. The ideal candidate will possess an MD or DO degree with over 5 years of clinical experience and hold an unrestricted medical license. Responsibilities include conducting medical necessity reviews, collaborating with healthcare professionals, and ensuring operational compliance with national guidelines. This position is remote but may require occasional travel for training or meetings and involves weekend work on a rotational basis. #J-18808-Ljbffr