State Licensed Medical Director

Job Summary

A company is looking for a Physical Medicine and Rehabilitation Medical Director.

Key Responsibilities

• Provides administrative oversight to the medical staff and analyzes medical review utilization data
• Develops claim adjudication criteria and educates staff on medical policies and program administration
• Conducts research into new medical procedures and technology, and reviews statistical data related to service utilization

Required Qualifications, Training, and Education

• Doctorate in a job-related field
• 5 years post-graduate experience in direct patient care
• Active state medical license and current board certification in a recognized specialty
• Proficiency in Microsoft Office
• Experience in the health insurance industry is preferred