Medical Director - Medicare Grievances and Appeals Corporate

Candidates must possess an MD or DO degree, hold a current and unrestricted medical license in at least one jurisdiction, and be willing to obtain licenses in other states as required. Board certification in an approved ABMS Medical Specialty is essential, along with excellent communication skills and at least 5 years of established clinical experience. A strong understanding of the managed care industry, including Medicare, Medicaid, and/or Commercial products, is necessary. Preferred qualifications include experience in medical utilization management, working with health insurance organizations, hospitals, and other healthcare providers, and patient interaction. Clinical specialists in Internal Medicine, Family Practice, Geriatrics, Hospitalist, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, and General Surgery are also preferred.