Medical Director, Utilization Management- CFHP

Job Description \n \n \n POSITION SUMMARY/RESPONSIBILITIES \n Reporting to the Chief Medical Officer, this position provides clinical leadership and oversight for utilization management activities across multiple product lines. while supporting the multidisciplinary member centric approach to care management. This role ensures all determinations are accurate, timely, and compliant with regulatory standards, contractual requirements, and health plan policies while promoting a member-centric appr…