Corporate Medical Director G&A

Take on the role of Corporate Medical Director, providing clinical interpretation and making determinations regarding the appropriateness of services delivered by healthcare professionals. Oversee complex clinical reviews and serve as a subject matter expert for Medicare, Medicaid, and Commercial products. Ideal for experienced medical professionals with strong clinical judgement and expertise in managed care.

Skills

• medical license
• board certification
• clinical review
• grievance and appeals management
• medicare compliance
• medicaid compliance
• managed care operations
• clinical judgment
• internal medicine
• family practice
• geriatrics
• hospital medicine
• rehabilitation medicine
• home health care
• inpatient care
• outpatient care
• transitional care
• hospitalist
• anesthesiology
• physical medicine and rehabilitation
• emergency medicine
• neurology
• general surgery
• medical utilization management
• patient interaction
• cross-functional collaboration
• process improvement
• regulatory compliance