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Job description
WellSense Health Plan is seeking a Medical Director to lead daily medical necessity reviews, evaluate policy, and oversee utilization management activities in a compliant, data-driven manner.
They will collaborate with senior medical leadership and physicians to ensure consistent decision making, support quality initiatives, and provide input to strategic planning for the Office of Clinical Affairs. This role requires MD/DO, extensive managed care experience, and licensure in MA/NH.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.