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