Florida Licensed Medical Director - Pueblo Colorado

Company: VirtualVocations
Location: Pueblo, Colorado
Posted On: 02/02/2025

A company is looking for a National Medicaid Medical Director - Long Term Services & Supports (LTSS).



Key Responsibilities

Review medical authorizations to determine medical necessity for services and supplies
Conduct computer-based reviews of clinical scenarios and communicate decisions to internal associates
Engage in discussions with external physicians and providers to gather clinical information and resolve conflicts


Required Qualifications

5+ years of clinical experience
Current License in Florida and ability to obtain licenses in other LTSS Medicaid states
MD or DO degree
Board Certified in an approved ABMS Medical Specialty
Knowledge of the managed care industry, including Medicare or Medicaid products More...

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