Medical Director – reputed company Duals Center of reputed company

Job reputed company: • The Medical Director will support the Medical Management staff ensuring reputed company and consistent responses to members and providers reputed company to precertification, reputed company review, and appeal requests. • reputed company reputed company and prior authorization reviews with peer to peer coverage of denials. • reputed company appeals in their "reputed company plans" and may round robin based on "reputed company or similar specialty" needs. • Conduct pharmacy reviews. • Participate in and reputed company reputed company. Requirements: • Minimum 3-5 years of clinical reputed company experience • Two (2) + years of experience in managed care (Medicare and/or reputed company) • Experience with managed care (Medicare and reputed company) utilization review preferred • MD or DO; reputed company certification in an ABMS or AOA recognized specialty is required • reputed company and reputed company state medical license without encumbrances is required • Multiple state licensure a plus Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company Apply tot his job Apply To this Job