Sr Medical Director – Utilization Management

Wellmark, Inc.
Des Moines, IA
Category Healthcare
Job Description
Wellmark is seeking a Senior Medical Director for Utilization Management (UM) to drive strategic direction and lead the team's work on efficiency and effectiveness of its Utilization Management (UM) processes and outcomes. This role requires strong clinical leadership, communication, and collaboration skills, with a focus on reducing overuse and improving quality of care. The ideal candidate will be a self-directed leader who can serve as a subject matter expert and influence organization-wide initiatives.

Requirements

  • Board certification in Internal Medicine (M.D. or D.O.)
  • Active and unrestricted license to practice medicine in Iowa and/or South Dakota
  • 3-5 years of Utilization Management experience in Commercial programs at a large and complex managed care organization
  • Masterful ability to deliver timely UM decisions based on evidence
  • Demonstrated formal or informal leadership experience
  • Strong interpersonal and communication skills
  • Track record of teamwork and driving results

Benefits

  • Employee benefits
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