Senior Director Physician Utilization Management
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Education
M.D. or D.O. required
Master's Degree Healthcare Administration, Public Health or Business Administration preferred
Experience
5 years general medical clinic practicing physician required and 2 years utilization management experience including MA medical review, peer to peer, and physician/ facility liaison functions required
Licenses and Certifications
MD - Medical Doctor in the State of Texas required upon hire. Or, DO - Doctor of Osteopathic Medicine in the State of Texas required upon hire. And, American Board of Medical Specialty Certification in respective area required upon hire
Skills
Strong analytical and organizational skills.
Knowledge of specific regulatory and managed care requirements.
Knowledge of Medicare, Medicaid, and Commercial Coverage Criteria.
The ideal candidate will possess the following qualifications
M.D. or D.O. required
Master's Degree Healthcare Administration, Public Health or Business Administration preferred
Experience
5 years general medical clinic practicing physician required and 2 years utilization management experience including MA medical review, peer to peer, and physician/ facility liaison functions required
Licenses and Certifications
MD - Medical Doctor in the State of Texas required upon hire. Or, DO - Doctor of Osteopathic Medicine in the State of Texas required upon hire. And, American Board of Medical Specialty Certification in respective area required upon hire
Skills
Strong analytical and organizational skills.
Knowledge of specific regulatory and managed care requirements.
Knowledge of Medicare, Medicaid, and Commercial Coverage Criteria.