Utilization Management Physician

Job Summary

A company is looking for a Physician, Utilization Management (Remote, Contract).

Key Responsibilities

• Develop and implement leading AI models for claims review
• Pioneer patient education and care navigation programs for high-risk members
• Review claims and identify high-risk care journeys using AI technology

Required Qualifications

• MD or DO degree from an accredited medical school
• Board-certification in internal medicine, family medicine, or emergency medicine
• 2 years of experience in utilization management