Remote Health Plan Utilization Management Medical Director

Medix

Medix in the United States is seeking Board Certified physicians with Health Plan Utilization Management experience to perform medical necessity determinations across Commercial, Medicare, and Medicaid populations.

The role also reviews prior authorization, appeals, and grievances, conducts peer-to-peer discussions with treating providers, and applies InterQual, MCG, CMS, and health plan medical policy in a fully remote setting with company-issued equipment.

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Vacancy posted 2 days ago

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