Associate Medical Director-Health Services UM & Virtual Support

Accountabilities:

• Make medical management and utilization management decisions within the assigned scope of authority, consistent with applicable state regulations, delegation requirements, appeals processes, and client expectations.
• Provide medical decision-making support for rehabilitation services and other assigned service lines, including physical therapy, occupational therapy, speech therapy, athletic training, chiropractic, and acupuncture.
• Conduct medical necessity reviews and utilization reviews while maintaining appropriate quality, accuracy, productivity, and turnaround times.

Requirements:

• Graduate of an accredited medical college in the United States with board certification.
• Minimum of 5 years of clinical practice experience with a current, unrestricted medical or osteopathic license in the United States.
• Demonstrated experience in utilization management, medical necessity review, and clinical quality assurance.

Benefits:

• Part-time hourly salary range of $90–$110, with actual compensation based on qualifications, education, skills, experience, and internal equity.
• Fully remote work-from-home environment within the United States with remote onboarding and training provided.
• Opportunity to contribute to utilization management, clinical quality, telehealth, and healthcare improvement initiatives.