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Devoted Health Services

Medical Director II, Utilization Management

Remote USARemote (US)director$280K – $345K

Posted 1w ago · via Workday

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About this role

Job Description A bit about this role: This position interacts with utilization management, clinical management, pharmacy, network management, data analytics, legal, finance as well as other health plan departments. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within established quality and evidenced based guidelines as well as executing the essential functions below: Your Responsibilities and Impact will include: Assists in development and maintenance of an efficient UM program to meet the needs of health plan members commensurate with company values. Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: teams

2

Level fit

This role is director-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

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