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Medical Director, Utilization Management (Fully Remote)

Clover Health

  • Support utilization management processes and review authorizations for medical necessity.
  • Perform peer-to-peer discussions with providers and mentor UM nurses.

Qualifications:

  • MD/DO with board certification and valid U.S. license.
  • Five years clinical experience plus one year UM review experience.

About Clover:

  • Data-driven health insurance focused on seniors.
  • Remote-first, mission-driven, and collaborative team.
Clover Health

Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. It is a mission-driven company focused on providing high-quality, affordable healthcare for America's seniors.

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Vacancy posted 2 days ago
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