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Job description
Brighton Health Plan Solutions, LLC is seeking a Medical Director to lead utilization review and medical necessity determinations for self-funded plans. The role supports the CMO and involves clinical decision-making, policy development, and accreditation support.
A physician with board certification and licensure is essential, with remote work flexibility. The position emphasizes peer discussions, appeals reviews, education delivery, and collaboration across committees to ensure quality,
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Worksite address
workfromhome, NC, 27517, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.