Medical Director - Clinical Review - CA, AZ, NM

Job Summary

A company is looking for a Medical Director - Clinical Review with CA, AZ, or NM licensure for a remote position.

Key Responsibilities

• Provide high-quality DRG-based clinical reviews and engage in peer-to-peer conversations
• Collaborate with medical directors, nurse coders, and operations teams to enhance DRG Clinical Review performance
• Identify opportunities to expand and optimize program success in partnership with other teams

Required Qualifications

• M.D. or D.O. with an active, unrestricted medical license
• Board certified in adult primary care fields or related subspecialties
• Licensed in CA, NM, or AZ
• 3+ years of clinical experience post-residency