Concerto delivers comprehensive care to Medicare, Medicaid, and complex-needs patients. For over a decade, we have provided extraordinary outcomes for thousands of people in these underserved groups. The Concerto name reflects our unique approach to healthcare. It’s about how we work in concert with patients, providers, and health plans. It’s about the harmony of a patient’s care, health, and dignity.
Concerto Healthcare is looking for a Utilization Management Medical Director to partner with the UM clinical operations team. The UM Medical Director oversees daily utilization management and directs the medical care of our members on behalf of our clients and serves in a supporting role as medical manager and policy advisor to the company and our clients.
The UM Medical Director is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions.
Population health – collaborative care management leadership
Physician and provider relationship management
Quality of care and service delivery