Home › Companies › Ejko Fa Us2 Oraclecloud Com CX 3 › Medical Director UM
Medical Director UM
Ejko Fa Us2 Oraclecloud Com CX 3 · Detroit, MI, United States; RenCen - Tower 500, Detroit, MI, US · Hybrid · Deleted · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Ejko Fa Us2 Oraclecloud Com CX 3 |
| Title | Medical Director UM |
| Normalized title | - |
| Department / team | Physician Consultant |
| Location | Detroit, MI, United States |
| Work model | Hybrid / Hybrid |
| Employment type | - |
| Salary | - |
| Status | deleted |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-06-03 / 2026-06-04 |
| Changed / last seen | 2026-06-13 / 2026-06-11 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Ejko Fa Us2 Oraclecloud Com CX 3. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Detroit. | Open |
| Department jobs | Active postings in Physician Consultant. | Open |
| Work model jobs | Active Hybrid postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Ejko Fa Us2 Oraclecloud Com CX 3 |
| Source | 7fec7607-6061-4966-a8cb-84c43d96f0e5 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility. Advise and collaborate in the development of clinical programs.
Provide clinical support and participate in utilization management, quality management, and care management programs in respective area and identify opportunities for improvement and efficiency.
Assist in the design, development, implementation and assessment of disease state management and health enhancement programs that support the appropriate use of clinical resources in the delivery of consistent high-quality medical care.
Provide clinical leadership for health promotion and education programs and the claims editing department.
Assist in establishing corporate and regional programs to enhance quality of care, reduce medical costs and achieve positive health outcomes.
Serves as clinical resource and subject matter expert to both clinical and non-clinical staff.
Perform clinical reviews and conduct peer to peers.
Conduct discussions with physicians in the BCBSM network regarding: medical policies, utilization management, claims editing, use of resources and quality.
Perform high dollar claims and complex case reviews.
Participate in inter-rater reliability activities.
Participate in committees and workgroups to achieve department and corporate objectives. " Qualifications " Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O) required.
Seven (7) years clinical practice experience.
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management preferred.
Current unrestricted state of Michigan Doctor of Medicine (M.D.) or doctor of osteopathy (D.O.) license.
Board certified or board eligible and working towards certification in a specialty approved by the
American Board of Medical Specialists or the American Board of Osteopathy.
Certification in Utilization Review and Health Care Quality & Management is preferred.
Ability to effectively communicate with external physicians and organizations.
Proven leadership, problem solving, and the ability to manage multiple priorities.
Results oriented and the ability to take ownership for initiatives and collaborate with cross-functional teams to achieve department and corporate goals.
Demonstrated skill with Microsoft Office Suite and web-based programs.
Understanding of health plan functions related to utilization, care, and quality management as well as HEDIS/STARs and NCQA. Familiarity with CMS regulations and standards.
Basic knowledge of evidence-based clinical decision support guidelines (InterQual).
Basic knowledge of CPT coding and guidelines.
Other related skills and/or abilities may be required to perform this job. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
Full job record
| Job ID | 6e538a32691209a0297e3366cef365aac29c527c |
| Org ID | b6406e5d-4bb5-4751-b50b-b818ceacfcb2 |
| Source ID | 7fec7607-6061-4966-a8cb-84c43d96f0e5 |
| Board ID | 7fec7607-6061-4966-a8cb-84c43d96f0e5 |
| Provider | oracle_hcm |
| Provider Job Key | 14332 |
| Title | Medical Director UM |
| Normalized Title | — |
| Status | deleted |
| Active | no |
| Location Text | Detroit, MI, United States; RenCen - Tower 500, Detroit, MI, US |
| Department | Physician Consultant |
| Team | — |
| Employment Type | — |
| Workplace Type | hybrid |
| Remote Policy | hybrid |
| Country | United States |
| Region | MI |
| City | Detroit |
| Salary Raw | Description Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility. Advise and collaborate in the development of clinical programs. Provide clinical support and participate in utilization management, quality management, and care management programs in respective area and identify opportunities for improvement and efficiency. Assist in the design, development, implementation and assessment of disease state management and health enhancement programs that support the appropriate use of clinical resources in the delivery of consistent high-quality medical care. Provide clinical leadership for health promotion and education programs and the claims editing department. Assist in establishing corporate and regional programs to enhance quality of care, reduce medical costs and achieve positive health outcomes. Serves as clinical resource and subject matter expert to both clinical and non-clinical staff. Perform clinical reviews and conduct peer to peers. Conduct discussions with physicians in the BCBSM network regarding: medical policies, utilization management, claims editing, use of resources and quality. Perform high dollar claims and complex case reviews. Participate in inter-rater reliability activities. Participate in committees and workgroups to achieve department and corporate objectives. " Qualifications " Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O) required. Seven (7) years clinical practice experience. Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management preferred. Current unrestricted state of Michigan Doctor of Medicine (M.D.) or doctor of osteopathy (D.O.) license. Board certified or board eligible and working towards certification in a specialty approved by the American Board of Medical Specialists or the American Board of Osteopathy. Certification in Utilization Review and Health Care Quality & Management is preferred. Ability to effectively communicate with external physicians and organizations. Proven leadership, problem solving, and the ability to manage multiple priorities. Results oriented and the ability to take ownership for initiatives and collaborate with cross-functional teams to achieve department and corporate goals. Demonstrated skill with Microsoft Office Suite and web-based programs. Understanding of health plan functions related to utilization, care, and quality management as well as HEDIS/STARs and NCQA. Familiarity with CMS regulations and standards. Basic knowledge of evidence-based clinical decision support guidelines (InterQual). Basic knowledge of CPT coding and guidelines. Other related skills and/or abilities may be required to perform this job. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/job/14332 |
| Apply URL | https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/job/14332 |
| First Seen At | 2026-06-04 10:38:05Z |
| Last Seen At | 2026-06-11 11:00:15Z |
| Last Checked At | 2026-06-13 11:40:58Z |
| Last Changed At | 2026-06-13 11:40:58Z |
| Inactive At | 2026-06-13 11:40:58Z |
| Source Posted At | 2026-06-03 00:00:00Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=ejko.fa.us2.oraclecloud.com|CX_3/date=2026-06-11/2026-06-11T11-00-12-722Z-226b2dce1c269b4e4227a24581b5e69b3faa0ec83cbb8220bbeae490987ab074.json |
Event Fields
{
"content_hash": "cd5558e19160d19971a163b6d55bcd0609727e314ca4fd7264fd376935a54980",
"source_hash": "83600031f309e3f1122f3817687f831ddfdc146377d559ec889fb8e17ed28c14",
"last_changed_at": "2026-06-13T11:40:58.600Z",
"active_status": "deleted"
}Parsed Structured
{
"language": "en",
"location": {
"raw": "Detroit, MI, United States",
"city": "Detroit",
"region": "MI",
"country": "United States",
"is_remote": false,
"confidence": 0.8
},
"salary_max": null,
"salary_min": null,
"inferred_at": "2026-06-11T11:00:15.398Z",
"launch_scope": {
"reason": "english_us_canada",
"included": true,
"language": "en",
"location": {
"raw": "Detroit, MI, United States",
"city": "Detroit",
"region": "MI",
"country": "United States",
"is_remote": false,
"confidence": 0.8
},
"countries": [
"United States"
]
},
"remote_policy": "hybrid",
"salary_period": null,
"workplace_type": "hybrid",
"salary_currency": null
}Extensions
{}Native Structured
{
"detail": {
"Id": "14332",
"Title": "Medical Director UM",
"media": [],
"skills": [],
"JobType": null,
"Category": "Physician Consultant",
"JobGrade": null,
"JobLevel": null,
"JobShift": null,
"WorkDays": null,
"WorkHours": null,
"WorkYears": null,
"Department": null,
"HotJobFlag": false,
"StudyLevel": null,
"WorkMonths": null,
"WorkerType": null,
"GeographyId": 300000005288312,
"JobFamilyId": 300000029452894,
"JobFunction": null,
"JobSchedule": null,
"BusinessUnit": null,
"ContractType": null,
"Organization": null,
"TrendingFlag": false,
"workLocation": [
{
"Country": "US",
"Region1": "Wayne",
"Region2": "MI",
"Region3": null,
"Building": null,
"Latitude": "42.32955",
"Longitude": "-83.04049",
"LocationId": 300001340062370,
"PostalCode": "48243",
"TownOrCity": "Detroit",
"AddressLine1": "500 Renaissance Ctr",
"AddressLine2": null,
"AddressLine3": null,
"AddressLine4": null,
"LocationName": "RenCen - Tower 500"
}
],
"ContentLocale": "en",
"HiringManager": null,
"LegalEmployer": "Blue Cross Blue Shield of Michigan Mutual Insurance Company",
"RequisitionId": 300001979935425,
"WorkplaceType": "Hybrid",
"BusinessUnitId": 300000003768177,
"OrganizationId": 300000003766001,
"GeographyNodeId": 100003555345208,
"JobFunctionCode": null,
"LegalEmployerId": 300000003766001,
"PrimaryLocation": "Detroit, MI, United States",
"RequisitionType": "NBU",
"NumberOfOpenings": null,
"WorkplaceTypeCode": "ORA_HYBRID",
"BeFirstToApplyFlag": false,
"otherWorkLocations": [],
"secondaryLocations": [],
"ExternalContactName": null,
"ShortDescriptionStr": "",
"ExternalContactEmail": null,
"ExternalPostedEndDate": null,
"OtherRequisitionTitle": null,
"requisitionFlexFields": [],
"ApplyWhenNotPostedFlag": true,
"DomesticTravelRequired": null,
"ExternalDescriptionStr": "<p style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\"><strong>Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility. Advise and collaborate in the development of clinical programs.</strong><br></font></p><ul><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Provide clinical support and participate in utilization management, quality management, and care management programs in respective area and identify opportunities for improvement and efficiency.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Assist in the design, development, implementation and assessment of disease state management and health enhancement programs that support the appropriate use of clinical resources in the delivery of consistent high-quality medical care.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Provide clinical leadership for health promotion and education programs and the claims editing department.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Assist in establishing corporate and regional programs to enhance quality of care, reduce medical costs and achieve positive health outcomes.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Serves as clinical resource and subject matter expert to both clinical and non-clinical staff.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Perform clinical reviews and conduct peer to peers.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Conduct discussions with physicians in the BCBSM network regarding: medical policies, utilization management, claims editing, use of resources and quality.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Perform high dollar claims and complex case reviews. <br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Participate in inter-rater reliability activities.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Participate in committees and workgroups to achieve department and corporate objectives.<br _moz_editor_bogus_node=\"\"TRUE\"\"></font></div></li></ul>\"<b>Qualifications</b>\"<ul><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O) required.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Seven (7) years clinical practice experience.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management preferred.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Current unrestricted state of Michigan Doctor of Medicine (M.D.) or doctor of osteopathy (D.O.) license.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Board certified or board eligible and working towards certification in a specialty approved by the <br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">American Board of Medical Specialists or the American Board of Osteopathy.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Certification in Utilization Review and Health Care Quality & Management is preferred.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Ability to effectively communicate with external physicians and organizations. <br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Proven leadership, problem solving, and the ability to manage multiple priorities.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Results oriented and the ability to take ownership for initiatives and collaborate with cross-functional teams to achieve department and corporate goals.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Demonstrated skill with Microsoft Office Suite and web-based programs.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Understanding of health plan functions related to utilization, care, and quality management as well as HEDIS/STARs and NCQA. Familiarity with CMS regulations and standards.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Basic knowledge of evidence-based clinical decision support guidelines (InterQual).<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Basic knowledge of CPT coding and guidelines.<br></font></div></li><li><div style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\">Other related skills and/or abilities may be required to perform this job.</font></div></li></ul><p style=\"\"margin-top: 0px; margin-bottom: 0px;\"\"><font face=\"\"Arial\"\" size=\"\"3\"\"><em>All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.<br _moz_editor_bogus_node=\"\"TRUE\"\"></em></font></p>",
"ObjectVerNumberProfile": null,
"PrimaryLocationCountry": "US",
"CorporateDescriptionStr": "",
"ExternalPostedStartDate": null,
"ExternalQualificationsStr": "",
"InternalQualificationsStr": "",
"OrganizationDescriptionStr": "",
"primaryLocationCoordinates": [
{
"Latitude": "42.33168",
"Longitude": "-83.048",
"CountryCode": "US",
"GeographyId": 300000005288312,
"GeographyNodeId": 100003555345208
}
],
"ExternalResponsibilitiesStr": "",
"InternalResponsibilitiesStr": "",
"InternationalTravelRequired": null
},
"list_job": {
"Id": "14332",
"Title": "Medical Director UM",
"JobType": null,
"Distance": 1780444800000,
"JobShift": null,
"Language": "US",
"WorkDays": null,
"JobFamily": "Physician Consultant",
"Relevancy": 5,
"WorkHours": null,
"Department": null,
"HotJobFlag": false,
"PostedDate": "2026-06-03",
"StudyLevel": null,
"WorkerType": null,
"GeographyId": 300000005288312,
"JobFunction": null,
"JobSchedule": null,
"BusinessUnit": null,
"ContractType": null,
"ManagerLevel": null,
"Organization": null,
"TrendingFlag": false,
"workLocation": [
{
"Country": "US",
"Region1": "Wayne",
"Region2": "MI",
"Region3": null,
"Building": null,
"Latitude": 42.32955,
"Longitude": -83.04049,
"LocationId": 300001340062370,
"PostalCode": "48243",
"TownOrCity": "Detroit",
"AddressLine1": "500 Renaissance Ctr",
"AddressLine2": null,
"AddressLine3": null,
"AddressLine4": null,
"LocationName": "RenCen - Tower 500"
}
],
"LegalEmployer": null,
"MediaThumbURL": null,
"WorkplaceType": "Hybrid",
"BusinessUnitId": 300000003768177,
"OrganizationId": 300000003766001,
"PostingEndDate": null,
"LegalEmployerId": 300000003766001,
"PrimaryLocation": "Detroit, MI, United States",
"WorkDurationYears": null,
"WorkplaceTypeCode": "ORA_HYBRID",
"BeFirstToApplyFlag": false,
"WorkDurationMonths": null,
"otherWorkLocations": [],
"secondaryLocations": [],
"ShortDescriptionStr": "",
"requisitionFlexFields": [],
"DomesticTravelRequired": null,
"PrimaryLocationCountry": "US",
"ExternalQualificationsStr": null,
"ExternalResponsibilitiesStr": null,
"InternationalTravelRequired": null
},
"detail_meta": {
"url": "https://ejko.fa.us2.oraclecloud.com/hcmRestApi/resources/latest/recruitingCEJobRequisitionDetails?expand=all&onlyData=true&finder=ById;Id=%2214332%22,siteNumber=CX_3",
"http_status": 200,
"content_type": "application/json",
"response_bytes": 9620
},
"detail_errors": []
}Get this page with API
Rendered from the bluedoor Job Postings API. Reproduce it:
GET https://api.bluedoor.sh/job-postings/v1/jobs/6e538a32691209a0297e3366cef365aac29c527c?include=descriptionJSONGET https://api.bluedoor.sh/job-postings/v1/orgs/b6406e5d-4bb5-4751-b50b-b818ceacfcb2JSONGET https://api.bluedoor.sh/job-postings/v1/sources/7fec7607-6061-4966-a8cb-84c43d96f0e5JSONGET https://api.bluedoor.sh/job-postings/v1/jobs/6e538a32691209a0297e3366cef365aac29c527c/eventsJSON