About this role
Physician - Medical Director - Utilization Management at FirstHealth of the Carolinas, Inc.. Location: Pinehurst, North Carolina, United States. Role: lead utilization, oversee compliance, optimize resources Requirements: MD or DO; CHCQM-PHYADV or ability to obtain within 90 days; ABMS or AOA board certification; active NC medical license; 5+ years post-residency clinical practice; at least 1 year UM experience; leadership ability; strong CMS/DNV compliance, coding/billing, and revenue cycle knowledge; EMR and utilization review proficiency. Category: Healthcare Services - Advanced Practice Seniority: Senior Level Tools: EMR, Utilization review tools Certifications: chcqm-phyadv, abms or aoa board Commitment: Full Time Workplace: Onsite Languages: English