State Licensed Medicare Medical Director

Job Summary

A company is looking for a Medicare Medical Director.

Key Responsibilities

• Provide administrative oversight to medical staff and analyze medical review utilization data
• Develop claim adjudication criteria and educate staff on medical policy and program administration
• Conduct research on new medical procedures and maintain relationships with the medical community

Required Qualifications

• 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 Medicare policy is preferred