The Medical Director will be actively involved in all major clinical program components and directly participate in oversight of the Enhanced Member Support Unit (EMSU, Quality Management (QM Department, and Utilization Management (UM Department, including determinations of service or benefit medical necessity and appropriateness and continued inpatient stays beyond approved days, according to established criteria. Passionately manage UPMC Health Plan's clinical Medical Affairs organization for Commercial, Medicare and Medicaid lines of business, to include; leading, educating and mentoring Medical Directors, managing all clinical aspects of Medical Management, Quality, Health Management, Utilization Management, Disease Management, Strategic Planning and Policy.