Job is Expired
Location: California, Florida, Illinois, New York, Texas
Compensation: To Be Discussed
Staff Reviewed: Thu, Jan 03, 2019
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
