Medical Director

2 weeks ago


Omaha, Nebraska, United States Actalent Full time
Job Title: Medical Director

This position is a key physician leader who drives strategic initiatives in utilization review, prior authorization, and case management. The individual is responsible for fostering strong relationships with healthcare providers and facilities, making informed utilization and prior authorization decisions, and serving as a project manager for medical management programs.

Key Responsibilities:

  • Develop and implement utilization review and prior authorization strategies to ensure high-quality patient care
  • Collaborate with healthcare providers and facilities to enhance relationships and improve patient outcomes
  • Make informed decisions on utilization and prior authorization requests, considering medical necessity and clinical guidelines
  • Manage case management programs to ensure timely and effective resolution of complex patient cases
  • Serve as a project manager for medical management programs, overseeing implementation and evaluation

Qualifications:

  • Nebraska Medical License
  • Experience in utilization review and prior authorization
  • Experience in case management and medical management

Work Environment:

  • This is a hybrid position requiring some days on-site in Omaha, Nebraska and some days remote
  • 99% remote, with occasional on-site work required
  • On-call responsibilities for weekends and overnights

About Actalent:

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation, and speed to market.

Diversity, Equity & Inclusion:

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. We embed DE&I into our culture through:

  • Hiring diverse talent
  • Maintaining an inclusive environment through persistent self-reflection
  • Building a culture of care, engagement, and recognition with clear outcomes
  • Ensuring growth opportunities for our people

We are an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.


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