Medical Director, Utilization Management

About the role

The UPMC Health Plan is seeking a Medical Director to join our Utilization Management team. The ideal candidate will have a minimum of 10 years of clinical experience, as well as experience working with a Health Plan. The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC Health Plan members. This fully remote role oversees adherence to quality and utilization standards through committee delegations, and establishes an effective working relationship between UPMC Health Plan's Network and its physicians, hospitals and other providers