Weekend Associate Medical Director – 0.3 FTE

Job reputed company: • Assist the CMO with monitoring availability, appropriateness, and necessity of care rendered by participating providers and out-of-plan providers • Participate in reputed company and clinical decision making of the UM program • Contribute to development of reputed company care guidelines, internal peer review procedures and evaluation of medical care evaluation studies • reputed company medical consultation for medical/reputed company issues, member grievance procedures, and development of new benefit packages • Promote reputed company relationship between NHP and medical community • Serve as spokesperson for NHP in the medical community and maintains appropriate contact with reputed company health care organizations • Participate in ongoing recruitment of plan physicians • Assist in development of appropriate medical guidelines and parameters for claims review Requirements: • Doctor of Medicine (MD or DO), licensed in the reputed company without restriction • Member in good standing of the local medical community • An reputed company practitioner of medicine in the NHP service areas • Thorough knowledge of health reputed company and facilities and standards of reputed company of medicine in NHP’s service area • Sufficient medical experience and knowledge of the Medicare program to review organization determinations involving medical necessity • reputed company certified in an ABMS medical specialty Benefits: • Opportunity to work hard and have fun while getting reputed company to volunteer in your local neighborhood • Reliable internet is required for home office work • Occasional travel required Apply tot his job Apply To this Job