Utilization Management Physician Advisor, CA Licensed (Part Time)
Alignment Health(1 month ago)
About this role
A Utilization Management Physician Advisor at Alignment Health conducts clinical reviews for medical necessity and treatment appropriateness via a remote portal, focusing on seniors and chronically ill members. The role supports care and utilization strategies by collaborating with medical officers, case managers, and care teams to ensure quality and efficient care delivery.
Required Skills
- Utilization Management
- Clinical Review
- Medical Necessity
- Case Management
- Quality Management
- Communication
- Problem Solving
- Leadership
Qualifications
- Medical Degree
- Specialty Residency
- Board Certification
- California License
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