Research Medical Director

Job Summary

A company is looking for a Research Medical Director (Medicaid Medical Policy).

Key Responsibilities

• Interpret and assess payment policy and medical coding information for policy maintenance and development
• Conduct thorough research and analysis for medical policy items and perform multi-faceted analytics
• Educate client-facing MDs and Client Policy Managers on policy updates and ensure timely completion of responsibilities

Required Qualifications

• MD or DO degree required; MBA preferred
• 10+ years of research experience
• Experience with Medicaid payers preferred
• In-depth knowledge of claims, adjudication, and medical policy rules
• Strong organizational and project management experience preferred