Medical Director, Care Management & Utilization (Remote)

Florida Blue Group seeks an experienced Medical Director to lead utilization management reviews across pre-service, post-service, and concurrent pathways. You will discuss cases with physicians, apply policy hierarchies for medical necessity decisions, and mentor teams in benefits interpretation.

You will bring Florida license, ABMS certification, and 5+ years of clinical experience to a fast-paced, collaborative environment offering comprehensive benefits and a competitive salary range.