New Jersey Licensed Oncology Medical Director

Job Summary

A company is looking for a Medical Director, Oncology.

Key Responsibilities

• Conduct oncology utilization reviews and make medical necessity determinations for various cancer treatments
• Advise clinical team members on oncology care appropriateness and support case management
• Engage with providers and manage appeals related to oncology quality of care

Required Qualifications

• Board-certified MD or DO in Medical Oncology, Hematology-Oncology, or Radiation Oncology
• 3+ years of clinical oncology practice experience
• 3+ years of experience in a managed care environment focused on utilization management
• Current, unrestricted clinical license(s), with New York licensure preferred
• Strong knowledge of oncology guidelines and medical billing/coding