Washington Licensed Assistant Medical Director

Job Summary

A company is looking for an Assistant Medical Director (Oncologist).

Key Responsibilities

• Support clinical review activities and make final coverage decisions based on medical necessity
• Utilize clinical expertise for claims review decisions and consult with nursing staff on care options
• Participate in the development and approval of medical review criteria and provide ongoing education for clinicians

Required Qualifications

• Physicians license with an MD or DO degree
• Current board certification in Medical Oncology preferred
• Unrestricted Washington state licensure or ability to obtain within 90 days
• Five years of clinical experience
• Previous experience with medical necessity and clinical reviews in a health plan setting preferred