Remote Oncology and Genetics Clinical Coverage Review Medical Director

Job ID: Available for Members

Location: California, Florida, Illinois, New York, Texas

Compensation: To Be Discussed

Staff Reviewed: Thu, Jan 03, 2019

Job Category: Information Technology

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

An insurance company has an open position for a Remote Oncology and Genetics Clinical Coverage Review Medical Director.

Core Responsibilities of this position include:

  • Provide support for CCR nurses
  • Conduct daily clinical review and evaluation of all service requests
  • Conduct coverage review

Required Skills:

  • 5 years of clinical practice experience after completing residency training
  • Current board certification in Oncology or Genetics or associated experience in ABMS or AOA specialty
  • Sound knowledge of the managed care industry
  • Strong belief in EBM, and familiarity with current medical issues and practices
  • Substantial experience in using electronic clinical systems in the payer setting
  • 5 years hands-on experience in utilization and coverage review in a health plan with Commercial membership