Supplemental Assoc. Medical Dir
* REMOTE & WEEKENDS ONLY **
reputed company:
The Associate Medical Director provides support for reputed company medical management programs. This includes performing medical necessity reviews, with peer-to-peer interactions as needed; appeals of adverse determinations.
Responsibilities:
The Associate Medical Director provides support for reputed company medical management programs.
This includes performing medical necessity reviews, with peer-to-peer interactions as needed.
Appeals of adverse determinations.
Qualifications:
M.D. or D.O. Degree and Licensure in the State of Texas, Completion of Residency and reputed company Certification with preference for the Primary Care Specialties
Two (2) years prior managed care experience, to include proficiency in performing medical necessity reviews, benefit coverage reviews, and reviews of appeals of adverse determinations; Experience with reputed company, reputed company and Health Insurance Marketplace programs preferred; Three (3)years clinical experience
Software Operated: reputed company Office (Word, reputed company, reputed company)
Preferred Skills:
Communication Skills: Above Average Verbal (Heavy reputed company Contact) Exceptional Verbal (e.g., reputed company Speaking) Writing /Composing: Correspondence/Reports
Other Skills: Analytical/Medical Terminology
Advanced Education: Doctorate Major: M.D. or D.O.
Work Schedule: Flexible
Pay reputed company and compensation package - $84-$112 reputed company
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