Medical Director - Medicare Appeals
Description:
- Responsibilities of this Medical Director role are related to Part C Medicare Appeals
- Provide support to Medicare appeal nurses
- Provide after hours and weekend coverage on a rotational basis
- Collaborative work with Medicare Quality and Compliance on an ongoing basis
- Provide ongoing education/subject matter expertise regarding Medicare policy and appeals
- Participate in ongoing initiatives to improve appeals team efficiency and clinical consistency
Requirements:
- Two (2) or more years of experience in a Health Care Delivery System
- Medical License (MD) or (DO)
- An Active state medical license without encumbrances
- Board Certified in ABMS Recognized Specialty
- Medical Management - Medicare Complaints, Grievance & Appeals experience (preferred)
- Health Plan Experience Highly Preferred
Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings
- Tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
- Many other benefits depending on eligibility
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