State Licensed Corporate Medical Director - Salinas California

Company: VirtualVocations
Location: Salinas, California
Posted On: 01/21/2025

A company is looking for a Medicare Grievances and Appeals Corporate Medical Director.



Key Responsibilities

Review health claims and provide medical interpretation regarding service appropriateness
Represent the organization at Administrative Law Judge hearings
Exercise independent judgment on complex medical issues with minimal supervision


Required Qualifications

MD or DO degree
Current and unrestricted medical license in at least one jurisdiction
Board Certified in an approved ABMS Medical Specialty
5 years of established clinical experience
Knowledge of the managed care industry, including Medicare and Medicaid More...

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