Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experience, Family Medicine and Appeals Experience Preferred")
CareSource(1 month ago)
About this role
The Medical Director is a senior clinical leader responsible for medical governance, clinical quality, and regulatory compliance for CareSource. This physician role partners with market and product leaders, provider networks, and community stakeholders to align clinical standards with organizational strategy and member needs.
Required Skills
- Medical Review
- Clinical Consultation
- Peer Review
- Provider Education
- Case Management
- Quality Improvement
- Policy Development
- Data Analysis
- Provider Relations
- Clinical Appeals
+2 more
Qualifications
- MD or DO
- Residency Completion
- Board Certification
- Unrestricted Medical License
- MCG Certification
- Bachelor's/Master's in Business (Preferred)
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