Lead Medical Director, Utilization Management
Clover Health · Remote - USA
Evaluate outpatient referrals and inpatient direct admissions for medical appropriateness using coverage determinations and clinical policies to support timely, evidence-based care access decisions.
- Role
- Other
- Remote policy
- fully-remote
- Team
- Utilization Management & Appeals
- Region
- Americas
- Posted
- 2026-11-05
- First seen
- 2026-11-06
- Last seen alive
- 2026-11-06
- Last verified
- 2026-11-06
- Verification
- AI-verified
- Source
- Clover Health careers
- Board
- greenhouse
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