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UM Medical Director: Medicare Advantage Utilization Lead

Job in Jersey City, Hudson County, New Jersey, 07390, USA
Listing for: HJSRLLC
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Administration
Job Description & How to Apply Below
A healthcare management organization is seeking an experienced UM Medical Director to oversee clinical integrity for Medicare Advantage care. The role involves conducting reviews for admissions and post-acute care, engaging in consultations, and ensuring compliance with regulations. Ideal candidates will have extensive clinical experience and a strong background in Utilization Management, particularly within a health plan setting. Preferred qualifications include an MPH, MBA, or MHA.
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