Physician / Medical Director / North Carolina / Permanent / . Job
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Description
Seeking a Medical Director of Utilization Management
--Full Time: 40 hrs/wk
--Mon-Fri 8A-5P
--Serve as the clinical expert on physician practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding, and documentation requirements.
--Work closely with medical staff leadership, all medical staff, and ancillary departments to optimize services and ensure appropriateness of patient care.
--Collaborate with hospital leadership to develop care management protocols that drive improvements and effectively manage resources.
--Guaranteed base salary
--Health, life, and disability coverage
--3 retirement savings plans – 401a, 403b with match, 457b
--Paid time off benefits
--CME allowance, license, and DEA reimbursement
--Customized wellbeing resources
--Free fitness center membership
--Paid Parental Leave
--Paid malpractice with tail coverage
--Required: Current CHCQM-PHYADV certification, or ability to obtain within 90 days of employment, Board Certification, Active, unrestricted NC medical license.
--5+ years of post-residency clinical practice experience PLUS at least one year of prior UM experience.
--Thorough understanding of current CMS and DNV compliance requirements
--Robust knowledge of hospital coding and billing, payer contracting, and revenue cycle management.
--Effective collaboration with physician peers, administration, and support staff.
--Advanced proficiency with EMRs and utilization review tools.
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| Employer: |
International Medical Placement, Ltd.
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| Post Date: |
May 08, 2026 |
| Profession: |
Physician |
| Job Type: |
MD/DO |
| Specialty: |
Medical Director |
| Location: |
North Carolina - Central North Carolina |
| Job Reference: |
2668 |
| Contact Details: |
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