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Medical Director, Utilization Management at Alignment Health - ApplyBlast

Medical Director, Utilization Management

Alignment Health

6 months ago

Onsite

Full Time

Senior

0 applicants

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About this role

The UM Medical Director/Physician Advisor oversees utilization management processes for senior care, ensuring compliance with Medicare/CMS guidelines and optimizing patient care quality. The role involves clinical reviews, collaboration with medical staff and payers, and developing protocols for service utilization.

Skills

Qualifications

Medical SchoolResidencyBoard CertificationLicensure

About Alignment Health

alignmenthealth.com

Headquarters

Orange, California, United States

Company Size

501-1000 employees

Founded

2013

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Alignment Health is a Medicare health plan provider offering all-inclusive benefits and 24/7 on-demand concierge healthcare services to Medicare beneficiaries. The company provides in-person, in-home, and mobile access to care, including doctor appointment scheduling and transportation arrangements. Alignment Health operates across multiple states including Arizona, California, Nevada, North Carolina, and Texas.