California Licensed Medical Director
Company: VirtualVocations
Location: Lowell
Posted on: April 21, 2025
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Job Description:
A company is looking for an Appeals and Grievances Medical
Director - Oncologist to work remotely.
Key Responsibilities
Conduct individual case reviews for appeals and grievances related
to various health plan products
Respond to regulatory inquiries from the Department of Insurance,
Department of Managed Healthcare, and CMS
Collaborate with medical directors and network management staff on
access, availability, and quality issues
Required Qualifications
MD or DO with an active, unrestricted license
Board Certified in an ABMS or AOBMS specialty
5+ years of clinical practice experience
2+ years of Quality Management experience
Intermediate proficiency with managed care
Keywords: VirtualVocations, Concord , California Licensed Medical Director, Executive , Lowell, New Hampshire
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