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Medical Director, Health Plan — Clinical Leadership & Utilization

Job in Portland, Cumberland County, Maine, 04122, USA
Listing for: Martin's Point Health Care Inc.
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Management
Job Description & How to Apply Below
A health care organization in Maine is seeking a Medical Director to provide clinical leadership for health plan utilization and care management. The role involves performing medical necessity reviews, assisting in policy development, and ensuring quality care delivery. Ideal candidates will have a board certification, experience in health plans, and a deep understanding of managed care concepts. Join a team committed to transforming health care while adhering to key performance metrics and compliance standards.
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