Medical Director, Utilization Management
Clover Health · Remote - USA
Evaluate outpatient referrals and inpatient admissions for medical appropriateness using Medicare coverage determinations and Milliman Care Criteria. Support quality improvement initiatives and review utilization management policies to ensure member medical necessity and care pla
- Role
- Other
- Remote policy
- fully-remote
- Team
- Utilization Management & Appeals
- Region
- Americas
- Posted
- 2026-10-28
- First seen
- 2026-11-02
- Last seen alive
- 2026-11-02
- Last verified
- 2026-11-02
- Verification
- AI-verified
- Source
- Clover Health careers
- Board
- greenhouse
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