Remote Family Medicine Appeals and Grievances Medical Director

Location: Nationwide
Compensation: Salary
Staff Reviewed: Thu, Mar 02, 2023
This job expires in: 7 days

Job Summary

A managed healthcare and insurance company has an open position for a Remote Family Medicine Appeals and Grievances Medical Director.

Must be able to:

  • Perform individual case review for appeals and grievances
  • Perform Department of Insurance/Department of Managed Healthcare
  • Provide clinical and strategic input

Position Requirements Include:

  • MD or DO with an active, unrestricted license
  • Board Certified in an ABMS or AOBMS specialty
  • 5+ years of clinical practice experience
  • Intermediate or higher level of proficiency with managed care
  • 2+ years of Quality Management experience
  • Data analysis and interpretation skills

COMPLETE JOB DESCRIPTION

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