Remote Medical Director, Utilization & Policy Review

CAI

CAI is seeking a Medical Director to oversee utilization management, ensuring compliance with current clinical standards. This full-time, remote role requires board-certified MD/DO with licensure in PA, NY or WV and at least 5 years of direct patient care. You will review cases, draft rationales, and participate in multidisciplinary teams to guide medical decision-making while maintaining policy alignment with NCQA, URAC, CMS, and related regulations. #J-18808-Ljbffr

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Vacancy posted 2 days ago

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