Texas Licensed Medical Director - job 4 of 8

Job Summary

A company is looking for a Medical Director-Medicaid.

Key Responsibilities

• Oversee Utilization Management including prior authorization, precertification, and concurrent review
• Ensure timely responses to members and providers regarding precertification and appeal requests
• Participate in a rotating on-call schedule for weekend and holiday coverage

Required Qualifications

• Five or more years of experience in Health Care Delivery System
• Active Texas state medical license without encumbrances
• M.D. or D.O. with current Board Certification in an ABMS or AOA recognized specialty
• Preferred specialties include Family Medicine, Emergency Medicine, or Internal Medicine-Pediatrics
• Prior experience in Utilization Management or as a Physician Advisor is a plus