Medicare Clinical Policy Director
WPS Health Solutions
WPS Health Solutions is seeking a Contractor Medical Director to lead evidence reviews for LCDs and guide medical decision-making. You will collaborate with CMS and other MACs, work with RN teams on coverage decisions, and support MR strategy to combat fraud and waste. You will analyze data, review claims with MR guidelines, and serve as SME for investigations while engaging with medical societies to ensure high-quality patient care under CMS contracts. #J-18808-Ljbffr WPS Health Solutions
Vacancy posted 5 days ago
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