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Medical Director - Health Plan

MetroPlusHealth

Kings County, New York, United States Regular, Full-Time July 08, 2026
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Opportunity Description

Position Overview

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Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

The Medical Director is responsible for assisting in ensuring appropriate health care utilization management (UM). The Medical Director serves as a physician and policy advisor to the Plan’s Chief Medical Officer.

Scope of Role & Responsibilities:

  • Performs Utilization Management for all lines of business, including Medicare. Additional UM may cover areas such as appropriate use of out-of-net network providers.
  • Conducts peer to peer discussions, as applicable, and educates physicians (in-network and out-of-network) and others on current policies and medical management issues.
  • Assists in new tec...
    • Regular, Full-Time Other Management Occupations

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    Opportunity Details

    Location Kings County, New York
    Country United States
    Type Regular, Full-Time
    Category Other Management Occupations
    Posted July 08, 2026
    Deadline August 17, 2026

    About MetroPlusHealth

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    MetroPlusHealth

    Kings County, United States