Job Summary
A company that provides medical benefits management solutions is seeking a Remote Associate Rheumatology Medical Director.
Core Responsibilities Include:
- Evaluating the medical necessity of services
- Reviewing appeals for denied services
- Documenting all actions related to clinical review sessions
Position Requirements Include:
- M.D. or D.O. with a current, active, U.S. state medical license
- Board certified in a clinical specialty recognized by the ABMS
- Recent practice experience in direct patient care (within past 18 months)
- 5 years of clinical experience (post residency/fellowship)
- Familiarity with automated processes and computer applications