Per Diem Health Plan UM Medical Director

Job description

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary: Mass General Brigham Health Plan UM Medical Director Qualifications: Education: MD or DO required: Experience: - Physician - Massachusetts active full license required - 5+ years of Health Plan UM experience - at least 5 years of clinical practice experience Knowledge, Skills and Abilities: - Utilization Management experience - Excellent written and oral communications skills - Proficient in basic computer skills, use of EHR's, digital tools - Multitasking abilities - Adaptable to change due to business growth Job Description: Other duties as assigned with or without accommodation - Handles utilization management initial determinations, appeals and grie...