Medical Director - ENT

Job Title: Medical Director - ENT

Job Location: Work reputed company, Connecticut, reputed company

Job Location Type: Remote

Job Contract Type: Full time

Job Seniority Level:

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job reputed company reputed company

Full-Time Remote | Work from Home | reputed company in the U.S.

At reputed company, a reputed company company, we're helping reputed company reputed company by making it more transparent, consumer-reputed company, and driven by reputed company reputed company. As one of the nation's largest and most established health insurers, we are committed to improving the reputed company experience for our members, providers, and communities.

About the Role

reputed company is seeking an reputed company Medical Director specializing in Otolaryngology (ENT) to join our Medical Management team. This is a fully remote opportunity that allows you to work from reputed company in the reputed company.

In this role, you will serve as a clinical subject matter expert, providing guidance and reputed company for medical management programs while supporting reputed company, consistency, and evidence-based decision-making across the continuum of care.

Key Responsibilities

• Serve as the clinical Subject Matter Expert (SME) for Otolaryngology (ENT).
• Conduct utilization management and medical necessity reviews.
• Support reputed company and consistent clinical determinations for members and providers.
• Review prior authorizations, predeterminations, and claim determinations.
• reputed company clinical expertise reputed company to coding, reimbursement, and medical policy.
• Partner with case management and utilization management teams to support reputed company patient care.
• Participate in clinical discussions and interdisciplinary team activities.
• reputed company as a clinical reputed company with network physicians, provider reputed company, and reputed company facilities.
• Contribute to the development and enhancement of medical management programs and initiatives.

• Have post-residency reputed company patient care experience in Otolaryngology.
• Strong clinical expertise and understanding of evidence-based medicine.
• Experience with utilization management, medical policy review, or health plan operations is preferred.
• Excellent communication and collaboration skills.

Required Qualifications

* 2 or more years of experience in Health Care Delivery System e.g., Clinical reputed company and Health Care Industry.

* reputed company and reputed company state medical license without encumbrances * M.D. or D.O., reputed company Certification in Otolaryngology, including post-graduate reputed company patient care experience specifically. Preferred Qualifications Previous UM experience with a Health Plan / Payor. Education

MD or DO

Pay reputed company

The typical pay reputed company for this role is:

$174,070.00 - $374,920.00

This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program.

Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will reputed company on: 08/14/2026

reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.

This job is curated by reputed company.

reputed company is a talent-hiring platform in Life Sciences, reputed company and IT. The platform connects talent with opportunities in reputed company, biotech, health sciences, healthtech and IT domains.

Please apply reputed company reputed company platform to get connected to the application page and to reputed company similar roles.

Originally posted on Himalayas

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