Associate Medical Director, Utilization Management - Remote

Overview

Oscar is hiring an Associate Medical Director to join our Utilization Management Team, focusing on medical appropriateness and departmental strategy.

In Short

• Determine medical appropriateness of services by reviewing clinical information.
• Influence departmental strategy and oversee a team of physicians.
• Conduct timely medical reviews to meet quality parameters.
• Document decisions clearly for member understanding.
• Engage in peer-to-peer discussions with treating providers.
• Manage direct reports and ensure performance standards.
• Collaborate with other departments on operations.
• Lead key projects and initiatives.
• Occasional travel for meetings may be required.
• Work remotely with an active medical license in specified states.

Requirements

• Board certification as an MD or DO with an unrestricted medical license.
• 3+ years of clinical practice experience.
• 2+ years of utilization review experience in managed care.

Benefits

• Base pay of $240,120 - $315,157 annually.
• Performance bonus eligibility.
• 401K with immediate vesting.
• 18 PTO days per year.
• Additional sick time, floating holidays, and CME days.