Utilization Management Medical Director Contractor

Devoted Health • Waltham, MA

3d • Remote

About The Position

Devoted Health is seeking a Utilization Management Medical Director Contractor to join their team. This part-time contractor role involves performing clinical reviews, participating in inter-rater reliability activities, serving as a clinical resource and subject matter expert, and actively participating in clinical rounds. The company is dedicated to improving the health and well-being of older Americans through a unique care platform that merges data, AI, and clinical expertise. Devoted Health values diversity, collaboration, and a supportive work environment.

Requirements

• Broad state licensure coverage
• Medicare Utilization Management experience
• Comfort with learning and adapting to new technologies
• Willingness to obtain other state licenses

Responsibilities

• Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.
• Participate in inter-rater reliability activities.
• Serves as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the Devoted Health Plan.
• Active participation in acute and post acute clinical rounds.

Benefits

• Flexible schedule
• Fully remote work
• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program

What This Job Offers

• Job Type: Part-time
• Career Level: Director
• Education Level: No Education Listed