Job Summary
A healthcare company is seeking a Telecommute Neurology Associate Medical Director.
Core Responsibilities Include:
- Providing timely expert medical review for requests to evaluate the medical necessity of services
- Reviewing appeals for denied services related to current relevant medical experience or knowledge
- Providing timely peer-to-peer discussions with referring physicians to clarify clinical information
Must meet the following requirements for consideration:
- Hands-on training in our Melbourne, FL office
- Board certified in a clinical specialty recognized by the American Board of Medical Specialties (ABMS)
- Recent practice experience in direct patient care (within the past 18 months)
- Familiarity with automated processes and computer applications and systems is required
- Knowledge of applicable state and federal laws, URAC and NCQA standards
- M.D. or D.O. with a current, active, U.S. state medical license