Remote Medical Director: Utilization Review & Policy
Brighton Health Plan Solutions
Brighton Health Plan Solutions seeks a Medical Director to perform utilization review and medical necessity determinations for BHPS-administered self-funded commercial plans. You will support the Chief Medical Officer and oversee the clinical decisions that guide member care. This remote role requires board-certified physicians with UR experience and strong policy interpretation skills, able to articulate defensible rationale under URAC and NCQA standards. #J-18808-Ljbffr
Vacancy posted 4 days ago
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