Medical Director Utilization Management
Location
Pittsburgh, Pennsylvania
Job Type
Full-time
Category
other-general
Posted
May 16, 2026
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 ...
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 ...