Medical Director - National Medicare Team

This job has been removed
Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Fri, Mar 29, 2024
This job expires in: 10 days

Job Summary

A company is looking for a Medical Director for their National Medicare Team.

Key Responsibilities:
  • Review preauthorization requests for services and provide medical interpretation
  • Determine if services align with national guidelines, CMS requirements, and company policies
  • Conduct utilization management of care received by members in an assigned market

Required Qualifications:
  • MD or DO degree
  • 5+ years of direct clinical patient care experience post residency or fellowship
  • Current and ongoing Board Certification in an approved ABMS Medical Specialty
  • Current and unrestricted medical license
  • No current sanctions from Federal or State Governmental organizations

COMPLETE JOB DESCRIPTION

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