About this opportunity
Florida Blue Group lists this Medical Director, Care Management & Utilization (Remote) opportunity in town of florida, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Florida Blue Group seeks an experienced Medical Director to lead utilization management reviews across pre-service, post-service, and concurrent pathways. You will discuss cases with physicians, apply policy hierarchies for medical necessity decisions, and mentor teams in benefits interpretation.
You will bring Florida license, ABMS certification, and 5+ years of clinical experience to a fast-paced, collaborative environment offering comprehensive benefits and a competitive salary range.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.