State Licensed Medical Director

Job Summary

A company is looking for a Medical Director - Medicare Appeals.

Key Responsibilities

• Direct daily work on part C appeals for providers and members
• Support appeal nurses and participate in the Second Look Review process
• Develop expertise on Medicare policy and provide education to staff

Required Qualifications

• Two or more years of experience in a Health Care Delivery System
• Medical License (MD) or (DO)
• An active state medical license without encumbrances
• Board Certified in ABMS or AOA Recognized Specialty