Mass General Brigham Health Plan UM Medical Director handles utilization management initial determinations, appeals, and grievances within defined expertise
Job Summary
Mass General Brigham Health Plan UM Medical Director handles utilization management initial determinations, appeals, and grievances within defined expertise.
The role requires adherence to Medicare, MassHealth, NCQA, and Division of Insurance compliance requirements.
This is primarily a remote position with M-F 8:30-5pm EST hours, ensuring timely completion of assigned work.
Matching Summary
Mass General Brigham Health Plan UM Medical Director handles utilization management initial determinations, appeals, and grievances within defined expertise.