Physician Medical Director

1 week ago


Chicago, Illinois, United States Ankura Consulting Group, LLC Full time
Join Our Team

Ankura Consulting Group, LLC is seeking a highly skilled Physician Medical Director - Utilization Management to join our team. As a critical member of our healthcare operations group, you will be responsible for leading utilization management efforts and providing expertise in medical necessity and clinical documentation.

This role is an excellent opportunity for a seasoned physician leader to leverage their experience and knowledge to drive high-quality patient care and outcomes.

Estimated salary: $280,000 - $380,000 per year.

Key Responsibilities
  • Lead utilization management teams to ensure accurate and timely decision-making on medical necessity and clinical documentation
  • Develop and implement clinical guidelines and protocols to improve quality of care and reduce costs
  • Collaborate with internal stakeholders to identify areas for process improvement and implement changes
  • Conduct independent reviews of medical records to assess medical necessity and compliance with regulatory requirements
Requirements
  • Board certification in Internal Medicine or a similar specialty
  • Minimum 10 years of experience in healthcare operations, with a focus on utilization management and medical necessity
  • Proven track record of leading high-performing teams and driving process improvement initiatives
  • Familiarity with commercially based published clinical criteria and medical policy


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