Medical Director - Medicaid Appeals
December 5
Description
• Provide oversight for medical policy implementation • Support Medical Management staff ensuring timely and consistent responses • Review appeal cases for denied medical services • Provide clinical, coding, and reimbursement expertise • Act as business and clinical liaison to network providers and facilities
Requirements
• Two or more years of experience in a Health Care Delivery System • Medical License (MD or DO) • Active state medical license in Kansas, Kentucky, Louisiana, Oklahoma or Texas without encumbrances • Board Certified in ABMS Recognized Specialty • Preferred: Previous experience in Medicaid Policy
Benefits
• Full range of medical, dental, and vision benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-paid term life insurance • Short-term and long term disability benefits • Well-being programs • Education assistance • Free development courses • CVS store discount • Discount programs with participating partners • Paid Time Off and paid holidays
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