JOB DESCRIPTION



Medical Director Utilization Management (Payer Side Experience Required)- (Remote)

Duration: 30 Weeks with possible extension

Location: Pittsburgh, PA

Schedule: Monday Friday | 9:00 AM 5:00 PM EST Core Hours

Hours: 40 Hours/Week

Employment Type: Contract with Possibility of Full-Time Conversion

Work Authorization: Must be a US Citizen



Position Overview

This role supports Utilization Management activities within a health insurance/payer environment and is responsible for conducting medical necessity reviews, appeals, and escalated case evaluations using established medical policy criteria. The Medical Director will collaborate with multidisciplinary teams and provide physician expertise on ...