Medical Director State Licensed

Company: VirtualVocations
Location: Sunnyvale
Posted on: November 8, 2024

Job Description:

A company is looking for a Medical Director (Medical Policy & Operations).

Key Responsibilities

Provide clinical expertise and business direction for medical management programs
Support the appeal process, clinical claim review, and benefit determination
Collaborate with diverse health delivery professionals to improve healthcare services

Required Qualifications

Five (5) or more years of experience in Health Care Delivery System
Active and current state medical license without encumbrances
M.D. or D.O. with Board Certification in an ABMS recognized specialty
Post-graduate direct patient care experience
Health plan/payor experience preferred

Keywords: VirtualVocations, Manteca , Medical Director State Licensed, Executive , Sunnyvale, California

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