Medical Director

2 days ago


New York, New York, United States Momentum Resource Solutions Full time
Job Opportunity

Momentum Resource Solutions is seeking a highly skilled Medical Director to join our team.

Job Summary

The Medical Director will play a crucial role in ensuring appropriate healthcare utilization management. As a physician and policy advisor, you will work closely with our Chief Medical Officer to develop and implement policies that promote high-quality patient care.

Key Responsibilities

  • Conduct utilization reviews to ensure medical necessity and appropriateness of care
  • Participate in medical policy development and review
  • Collaborate with healthcare professionals to identify and address potential issues
  • Develop and maintain relationships with healthcare providers and payers
  • Stay up-to-date with industry trends and developments

Requirements

  • MD degree and board certification
  • Experience with utilization management reviews
  • Pediatrician or managed care experience a plus
  • InterQual experience a plus
  • 100% remote work arrangement
  • Licensure in NY required

About Momentum Resource Solutions

We are a leading provider of healthcare solutions, dedicated to delivering high-quality services to our clients. Our team is passionate about making a difference in the lives of patients and healthcare professionals alike.



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