About this role
Medical Director of Utilization Management at VillageCare. Location: New York or New Jersey or Connecticut. Role: overseeing utilization, conducting reviews, ensuring compliance Requirements: MD required with current unrestricted NY physician license; 3-5 years health plan medical management experience (Medicare/Medicaid, MLTC/MAP/DSNP/MAPD); inpatient/outpatient UM and appeals experience; NY market experience; board certification preferred; MPH preferred. Category: Healthcare Services - Advanced Practice Seniority: Mid Level Certifications: physician (ny), board Commitment: Full Time Workplace: Onsite Languages: English