Group Health Medical Director Reviewer

JOB SUMMARY

Dane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services and clinical oversight for the Group Health Department.

This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in compliance with state regulations, nationally recognized evidence-based guidelines, and client-specific policies. Additionally, serve as the clinical lead for the Group Health Department, providing governance to physician reviewers and overseeing ongoing training and quality assurance.

Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

MAJOR DUTIES &...