Director of Utilization Management - MD

Twitter Facebook
Santa Clara, CA
$240,000 - $300,000
Job Type
Direct Hire
May 15, 2018
Job ID
Director of Utilization Management - MD

Growing managed care organization seeks a Director of Utilization Management to work with healthcare providers on projects supporting HEDIS care coordination.  Regional travel is anticipated to be approximately 30%, the rest home office based.  The Director of Utilization Management will work with clinical and non-clinical personnel to ensure timely responses to providers and members.  He or she will work with external regulators including the CA Department of Insurance and the CA Department of Managed Health Care.

  • MD or DO
  • Unrestricted, current California medical license
  • 3+ years of post residence clinical experience
  • 3+ years of utilization management experience
  • Experience with Medicare / Medicaid guidelines 
  • The ability to travel up to 30% in Central and Northern California
  • Strong leadership and interpersonal skills
  • Board certification in any specialty