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Integra Partners

Remote DMEPOS Utilization Review Medical Director

northern, KY

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Job description

Integra Partners seeks an experienced Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a remote UM environment. You will ensure decisions meet Medicare/Medicaid guidelines and internal policies while maintaining timely throughput and documented rationale.

Qualifications include MD/DO with board certification (IM/FM/PM&R), and proven UM experience. Strong communication, audit support, and familiarity with NCQA standards are required for this role.

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