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Associate Medical Director - UM

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Before you apply
Salary$250k – $300k
LocationHybrid Career; Buffalo, NY (14221); Independent Health Association, Inc.
Also inWilliamsville
Work modehybrid
Typefull-time
SeniorityDirector
Experience5+ yrs
Company size501–1,000 people
PostedSep 16, 2026 · 1mo ago
Verified live14h ago
At a glanceSummarised by Seekless from the posting.
Graduate degree from an accredited medical school and residency program
Unrestricted, current, active license to practice medicine issued by NY State Board of Licensure or State Board of Osteopathic Examiners
Board certified in a recognized medical specialty by the American Board of Medical Specialists
Five (5) years of post-graduate clinical experience in health care management and utilization review
Ability to rotate in UM call schedule to remotely cover evenings, weekends and holidays
Excellent verbal, written and interpersonal communication skills
Solid computer navigational skills
Demonstrated ability to work effectively as a member of a multi-disciplinary team
Demonstrated ability to analyze, interpret and communicate significance of health care data
Proven examples of displaying IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable
Master’s degree in healthcare administration, business, or public health
Board certified in Primary Care (internal medicine, family practice, etc.)
Quality assurance and peer review experience
Private practice experience
Immigration or work visa sponsorship will not be provided
Skills
computer navigational skills
Benefits
Health insurance
Paid time off
Scorecard incentive
FIND YOUR FUTURE
We’re excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.
Overview
The Associate Medical Director, Utilization Management is responsible for assisting the Medical Director in the oversight of Utilization Management (UM) programs and will support the development and maintenance of these programs, with focus on clinical accuracy and appropriateness. The Associate Medical Director (AMD) will assist the Medical Director in the efforts to develop strategic corporate direction / focus for UM programs. The AMD will support the SVP, Healthcare Services in preparing annual metrics of results of UM programs. The AMD contributes to the provision of measurable outcomes for prior authorization, step therapy and quantity limit programs.
The AMD will collaborate with internal teams to support corporate HEDIS initiatives with appropriate clinical program development. The AMD is expected to work closely with clinical program development teams, clinical service operations and clinical quality committees and provide clinical guidance and oversight to these areas. The AMD shall also serve on IH committees as directed by the Medical Director.
Qualifications
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Graduate Degree required from an accredited medical school and residency program required. Master’s degree in healthcare administration, business, or public health preferred. Possess an unrestricted, current, active license to practice medicine, issued by the NY State Board of Licensure or the State Board of Osteopathic Examiners. Must be a member in good standing in the medical community.
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Board certified in a recognized medical specialty as recognized by the American Board of Medical Specialists (ABMS), preferably in Primary Care (internal medicine, family practice, etc.) preferred.
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Five (5) years of post-graduate clinical experience in health care management and utilization review required; quality assurance and peer review experience preferred.
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Private practice experience preferred.
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Ability to rotate in UM call schedule to remotely cover evenings, weekends and holidays.
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Excellent verbal, written and interpersonal communication skills required.
•
Solid computer navigational skills required.
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Demonstrated ability to work effectively as a member of a multi-disciplinary team.
•
Demonstrated ability to analyze, interpret and communicate significance of health care data.
•
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.
Essential Accountabilities
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Ensure that all UM decisions made are consistent with the terms of our member contract.
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Ensure that all UM decisions represent services that are medically necessary.
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Ensure all UM decisions are consistent with approved IH and regulatory policies.
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Ensure that appropriate information is available to determine medical necessity for approved services.
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Ensure that reviews are appropriately completed within regulatory time frames.
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Work with the UM leadership to ensure accuracy, consistency, and efficiency of the UM process.
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Assist the UM leadership in the development of performance reporting.
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Collaborate with internal teams to support corporate HEDIS initiatives.
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Support UM leadership to improve clinical service operations.
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Serve on Independent Health committees as appropriate or as designated by Medical Director.
his is a hybrid position with onsite attendance required at our Williamsville location.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $250,000 - $300,000 annually
Compensation may vary based on factors including but not limited to skills, education, location and experience.
Benefits
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
Legal
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information.
Hiring process
Current Associates must apply internally via the Job Hub.