Remote Duals Center of Excellence Medical Director

Job Summary

A health services company needs applicants for an opening for a Remote Duals Center of Excellence Medical Director.

Individual must be able to fulfill the following responsibilities:

• Perform concurrent and prior authorization reviews
• Perform appeals in their “base plan” and “same or similar specialty” needs
• Conduct pharmacy reviews and ensure timely and consistent responses to members and providers

Applicants must meet the following qualifications:

• MD or DO; Minimum 3-5 years of clinical practice experience
• Two (2) + years of experience in managed care (Medicare and/or Medicaid)
• Experience with managed care (Medicare and Medicaid) utilization review preferred
• Board certification in an ABMS or AOA recognized specialty is required
• Licensed in or willing to obtain license in at least one state where we have an Integrated plan