Medical Director (Remote) - Utilization Management - Monday-Friday 8a-5p

The ideal candidate will possess the following qualifications:

•  Graduate of an M.D. or D.O. program required.
•  5 years of general medical clinic practicing physician experience required.

•  5 years of board certified medical specialty or medical practice experience preferred.

•  2 years of Utilization Management experience including MA medical review, peer to peer, and physician/ facility liaison functions preferred.
•  MD - Medical Doctor State of Texas, DO - Doctor of Osteopathic Medicine State of Texas, or other American Board of Medical Specialty Certification in respective area required upon hire.

•  Strong analytical and organizational skills.
•  Knowledge of Medicare, Medicaid, and Commercial Coverage Criteria.
•  Knowledge of specific regulatory and managed care requirements.

Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is a partner company of Texas Health.  If hired for this position, you will become a SWHR CIN employee rather than a Texas Health employee.