Physician Supervisor, Utilization Management
$174,070–$374,920 year
On-site · Washington, District of Columbia, United States
Job Summary
Physician Supervisor, Utilization Management oversees day-to-day UM processes, leads a team of UM physicians, and directs reviews of medical necessity and utilization activities. Responsibilities include supervising clinical staff, conducting prior authorizations and concurrent/retrospective reviews, collaborating with providers to ensure appropriate resource use, ensuring regulatory compliance, and driving performance in Medicare/Medicaid utilization management. The role requires a medical degree (MD or DO), an unrestricted US medical license, US work authorization, and prior clinical leadership experience; strong communication, collaboration, and regulatory knowledge are emphasized. Oak Street Health offers a comprehensive benefits package and a path to leadership within a growing organization; compensation ranges from $174,070 to $374,920 with eligibility for bonus and equity programs.
Required Qualifications
- MD or DO degree
- Medical license in the United States (unrestricted)
- US work authorization
- 2+ years UM experience in Medicare/Medicaid
- 3-5 years clinical practice in primary care
- leadership/supervision experience preferred
- strong communication skills
- NCQA standards understanding
- Graduate of an accredited medical school
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