Job Description
Position Type
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
****We’re looking for multiple people who can commit to be available 1-2 days a week, for the full business day****
**Job Summary:**
The Medical Director -BH per diem will support the staff of the Office of Clinical Affairs and Behavioral Health teams in the areas of medical management daily medical necessity reviews, evaluation of medical policy, utilization trend management, quality, appeals and grievances, and pharmacy reviews.
Our Investment in You:
· Per Diem work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Provides clinical case review, consultation and oversight for all utilization mana...
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
****We’re looking for multiple people who can commit to be available 1-2 days a week, for the full business day****
**Job Summary:**
The Medical Director -BH per diem will support the staff of the Office of Clinical Affairs and Behavioral Health teams in the areas of medical management daily medical necessity reviews, evaluation of medical policy, utilization trend management, quality, appeals and grievances, and pharmacy reviews.
Our Investment in You:
· Per Diem work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Provides clinical case review, consultation and oversight for all utilization mana...