DescriptionSummary:The Director - Medical Director, Health Plans is responsible for the direction and oversight in appropriateness and medical necessity of health services, and all aspects of utilization management, case management, disease management. In carrying the responsibilities of this position, the Medical Director works closely with the Health Plan Directors and Health Plan Associates. The Medical Director coordinates activities with the Health Plan Directors and the Vice President, Chief Medical Director, Quality Performance, & Innovation of the Population Health and Health Plans. The Medical Director has consultations with practitioners in the field as required in order to perform the duties of the position. The Medical Director ensur
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