Job Summary

A healthcare company is filling a position for a Telecommute Medical Director.

Individual must be able to fulfill the following responsibilities:

• Review and finalize appeal decisions including prior authorization requests, quantity limit exceptions and tiering exceptions
• Assist in the oversight of the appeals process
• Assist in the oversight of the quality improvement and clinical programs for all lines of business

Qualifications Include:

• Willingness to travel
• Doctor of Allopathic Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree
• Must maintain an active, unrestricted license to practice medicine, in good standing, in at least one state
• Must be board certified by a specialty board approved by the ABMS or the AOABOS from the major areas of clinical services
• Minimum 5 years of post-graduate experience in the medical and/or pharmacy field
• Demonstrated ability to develop and deliver medical and clinical policies, procedures and programs
• Proficient in Microsoft Office and industry related software programs
• Ability to work extended hours, weekends and holidays in accordance with industry demands