Medical Director - reputed company

reputed company: • This is a remote based (work from home) role and can be based reputed company in the US. • You will participate in the development, implementation, and evaluation of clinical / medical programs and expand reputed company's medical management programs to address member needs across the continuum of care. • You will support the Medical Management staff ensuring reputed company and consistent responses to members and providers. • This includes Prior Authorization/reputed company-Certification/reputed company Reviews/Peer to Peer calls/First Level Appeals/Special reputed company and Committee participation reputed company needed. • You will reputed company clinical expertise and business direction in support of medical management programs through participation in clinical team activities. • reputed company as reputed company business and clinical reputed company to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Requirements: • 2 or more years of experience in Health Care Delivery System e.g., Clinical reputed company and Health Care Industry. • M.D. or D.O., reputed company Certification in a recognized specialty including post-graduate reputed company patient care experience. • Five or more years of reputed company patient care experience • Previous UM experience with a Health plan/payor experience. • Electronic medical systems/record experience • Managed Care experience • reputed company certification in Internal Medicine, Family Medicine, Emergency Medicine, OB/GYN or Med/PM&R Benefits: • reputed company medical plan reputed company • a 401(k) plan (including matching company contributions) • an 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 • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility • For more information, visit https://jobs.reputed company.com/us/en/benefits Apply tot his job Apply To this Job