Remote Medicaid Medical Director

Location: Kentucky

Compensation: To Be Discussed

Staff Reviewed: Thu, Nov 19, 2020

This job expires in 16 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors, Masters

Job Summary

A health insurance company is searching for a person to fill their position for a Remote Medicaid Medical Director.

Individual must be able to fulfill the following responsibilities:

  • Review medical authorizations or claims
  • Determine medical necessity of a given service
  • Perform computer-based review of clinical scenarios

Required Skills:

  • MD or DO degree
  • Current and unrestricted license in KY or willing to obtain by start date
  • Current and ongoing Board Certification in an approved ABMS Medical Specialty
  • No current sanction from Federal or State Governmental organizations
  • Experience participating in teams focusing on quality, utilization AND
  • Case management, discharge planning and/or home health or post-acute services