Medical Director - Denials Management
December 10
Description
• Evaluate hospitalizations across the country using medical knowledge • Perform clinical case reviews and provide recommendations on admission status • Facilitate Peer-to-Peer case discussions with payer medical directors • Identify process improvements and inefficiencies • Engage in focused real-time and post-discharge hospital case reviews in EMR
Requirements
• MD or DO degree with strong clinical knowledge • Active unrestricted medical license in at least one state within the United States • Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred) • At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience • Working knowledge of hospitals’ EMR • Computer proficient • Excellent verbal and written communication skills • Team Player
Benefits
• Quality of life with a remote predictable, full-time schedule • Comprehensive training and education program • Opportunities for career growth within the organization • Salary plus bonus opportunities • Medical, Dental, Vision coverage, 401K • Holidays, paid time off, long-term disability insurance, and life insurance • Allowance for CME and/or license renewals
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