Medical Director – Oncology

Role Overview

• Responsible for the appeal reviews for physical health medical services
• Supports clinicians to ensure timely and consistent responses to members and providers
• Provides guidance for clinical operational aspects of a program
• May conduct peer-to-peer clinical case reviews with attending physicians or other ordering providers
• Serves as a resource and consultant for other areas of the company
• Interprets medical policies and clinical guidelines
• Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes

Requirements

• Requires MD or DO and Board certification approved by ABMS or AOA
• Must possess an active unrestricted medical license to practice medicine
• Minimum of 10 years of clinical experience
• For Health Solutions and Carelon organizations, minimum of 5 years of experience providing healthcare is required
• Board certification in Oncology or Hematology and Oncology strongly preferred
• Utilization Management or Appeals experience preferred

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid holidays
• Paid Time Off
• Medical benefits
• Dental benefits
• Vision benefits
• Short and long term disability benefits