Utilization Management Medical Director Contractor

About the Role

This is a part-time contractor position offering a flexible, fully remote schedule.

Responsibilities

• Perform clinical reviews (e.g., part A, part B, appeals, quality of care) and conduct peer-to-peer discussions.
• Participate in inter-rater reliability activities.
• Serve as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the Devoted Health Plan.
• Actively participate in acute and post-acute clinical rounds.

Requirements

• Broad state licensure coverage.
• Medicare Utilization Management experience.
• Comfort with learning and adapting to new technologies.
• Willingness to obtain other state licenses.

Benefits

• Fully remote work.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for all roles (excluding Director and above).
• Parental leave program.
• 401K program.

Pay

The pay range for this position is disclosed during the interview process and depends on factors such as qualifications, relevant experience, skills, education, certifications, and location. Contract positions are not eligible for the full total rewards package available to full-time employees.