Clinical Coverage Review Medical Director - Virtual - Missouri Medical - (Kansas City, MO)

Clinical Coverage Review Medical Director The Medical Director provides physician support to Clinical Coverage Review (CCR) operations, the organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). TheMedical Director collaborates with CCR leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefits plan), and on communication regarding this process with both network and non-network physicians, as well as other UnitedHealth Care departments.