At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital, you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
Medical Director – Utilization Management
Location
Pennsylvania
Posted
47 days ago
Salary
$100 - $150 / hour
Seniority
Lead
Job Description
Job Requirements
- Minimum of five years clinical experience, post residency, including both inpatient and outpatient care.
- At least three years’ experience in managed care, utilization review, and/or quality management.
- Current unrestricted licensure in Pennsylvania as an MD or DO.
- Appropriate Board Certification.
- Knowledge of current and emerging medical treatment modalities.
- Familiarity with National Committee for Quality/URAC standards.
- Currently covered by, or eligible to be covered by, medical liability insurance.
Benefits
- Health insurance
- Flexible work arrangements
- Professional development opportunities
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