Assistant Medical Director (Utilization Management - Oncology))
Premera Blue Cross(1 month ago)
About this role
Assistant Medical Director (Utilization Management - Oncology) at Premera provides clinical oversight for oncology-related benefit coverage determinations, using medical policy, guidelines, and member contracts to adjudicate medical necessity. This part-time, work-from-home role also supports clinical programs and contributes to development and review of medical review criteria and policies.
Required Skills
- Medical Review
- Clinical Review
- Oncology Expertise
- Utilization Management
- Medical Policy
- Peer-to-Peer
- Case Management
- CPT
- ICD
- RBRVS
Qualifications
- MD
- DO
- Board Certified Medical Oncologist (ABIM)
- Washington Medical License (or ability to obtain within 90 days)
- Board Certification (ABMS or AOA)
Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Premera Blue Cross
Similar Jobs
Pharmacist - Utilization Management (UM) - Remote
Highmark Health(27 days ago)
RN - Utilization Reviewer - Coordinated Care - PT
University of Mississippi Medical Center(1 month ago)
Licensed Vocational Nurse, Utilization Management
AltaMed Health Services(1 month ago)
Medical Director - Medical Oncology
Elevance Health(1 month ago)
Dental Utilization Management Reviewer
Blue Cross Blue Shield of Massachusetts(1 month ago)
LVN - Quality Assurance/Utilization Review - Business Development - Full Time 8hr
Emanate Health(1 year ago)