Senior Director Physician Utilization Management

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Leadership
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19011807 Requisition #
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Thanks for your interest in the Senior Director Physician Utilization Management position. Unfortunately this position has been closed but you can search our 442 open jobs by clicking here.

The ideal candidate will possess the following qualifications 

 
Education
M.D. or D.O. required
Master's Degree Healthcare Administration, Public Health or Business Administration preferred

Experience
5 years general medical clinic practicing physician required and 2 years utilization management experience including MA medical review, peer to peer, and physician/ facility liaison functions required

Licenses and Certifications
MD - Medical Doctor in the State of Texas required upon hire. Or, DO - Doctor of Osteopathic Medicine in the State of Texas required upon hire. And, American Board of Medical Specialty Certification in respective area required upon hire

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


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