About this role
Role Overview
- Corporate Medical Director relies on medical background and reviews health claims
- Works on problems of diverse scope and complexity ranging from moderate to substantial
- Provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards
- Use independent decision-making on complex issues, requiring analysis of variable factors to determine the best course of action
- Schedule is Monday-Friday with intermittent weekends
- One weekend per month is generally required with compensation days given
Requirements
- MD or DO degree
- A current and unrestricted license in at least one jurisdiction and willing to obtain license for states in your region of assignment
- Board Certified in an approved ABMS or AOA Medical Specialty
- 5 years of established clinical experience
- post residency
- Knowledge of the managed care industry including Medicare, Medicaid, and Commercial products
- Analytical and interpretation skills, with prior experience leading teams focusing on quality management, utilization management, discharge planning and home health or rehab
- Must be passionate about contributing to an organization focused on improving consumer experiences
- Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, to include patient interactions
- Internal Medicine, Family Practice, Geriatrics, Hospitalist clinical specialists
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities