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Medical Director - Medicare

Company: VirtualVocations
Location: Jackson
Posted on: November 9, 2024

Job Description:

A company is looking for a Medical Director for the National Medicare Team.



Key Responsibilities

Provide medical interpretation and determinations for services in accordance with national guidelines and policies
Review prior authorization requests, claims, and provider dispute cases for outpatient services
Collaborate with team members and other departments to support market-wide objectives and community relations


Required Qualifications

MD or DO degree
5+ years of direct clinical patient care experience post residency or fellowship
Current and ongoing Board Certification in an approved ABMS Medical Specialty
A current and unrestricted medical license in at least one jurisdiction
No current sanctions from Federal or State Governmental organizations

Keywords: VirtualVocations, Hattiesburg , Medical Director - Medicare, Healthcare , Jackson, Mississippi

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