Claims Management Medical Director

Job is Expired

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, Wyoming

Compensation: To Be Discussed

Reviewed: Mon, Nov 27, 2023

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced, Senior Level

Education Level: Some College, Masters

Job Summary

A company is looking for a Medical Director for Claims Management.

Key Responsibilities:

Review and make determinations on requested services, level of care, and site of service at the Appeals/Disputes level
Review clinical records and prioritize daily work
Communicate decisions to internal associates and potentially participate in care management

Required Qualifications:

MD or DO degree
5+ years of direct clinical patient care experience post residency or fellowship
Board Certified in an approved ABMS Medical Specialty
Current and unrestricted license in at least one jurisdiction
No current sanction from Federal or State Governmental organizations

COMPLETE JOB DESCRIPTION

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Job is Expired

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