Corporate Medical Director - Medicare Grievances and Appeals - Remote

Overview

Become a part of our caring community and help us put health first. The Corporate Medical Director relies on medical background and reviews health claims, providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals.

In Short

• Corporate Medical Director role focused on Medicare grievances and appeals.
• Requires MD or DO degree and a current unrestricted license.
• Minimum 2 years of project leadership experience.
• 5 years of established clinical experience required.
• Excellent communication skills are essential.
• Knowledge of managed care industry including Medicare and Medicaid.
• Independent judgment on complex medical issues.
• Remote position with occasional travel required.
• Full-time schedule, Monday to Friday with intermittent weekends.
• Competitive salary with bonus incentive opportunities.

Requirements

• MD or DO degree.
• 2+ years of project leadership experience.
• Board Certified in an approved ABMS Medical Specialty.
• Clinical experience of 5 years or more.
• Experience in quality management and utilization management.
• Passion for improving consumer experiences.
• Ability to work independently with minimal supervision.
• Willingness to obtain necessary licenses for various states.
• Strong analysis and interpretation skills.
• Preferred experience in medical management and patient interaction.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including holidays and volunteer time off.
• Short-term and long-term disability insurance.
• Life insurance and additional opportunities for wellness.