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Remote Commercial Medical Director

Job is Expired
Location: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, 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, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Sat, Apr 30, 2022
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced

Job Summary

A health insurance company has a current position open for a Remote Commercial Medical Director.

Core Responsibilities of this position include:

  • Making determinations regarding prior authorization review for pharmacy cases
  • Making determinations regarding prior authorization
  • Performing concurrent stay reviews for inpatient services

Skills and Requirements Include:

  • 5+ years of direct clinical patient care experience post residency or fellowship
  • Current and ongoing active Board Certification in an approved ABMS Medical Specialty
  • MD or DO degree
  • Internal Medicine or sub specialty, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialization

COMPLETE JOB DESCRIPTION

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