Medical Director (work from home)

Job Summary This position is responsible for assigned aspects of medical policies and programs, performs medical reviews, and interacts with the provider community for assigned areas. Responsibilities The role includes reviewing medical claims, evaluating medical cases, and communicating with providers to resolve issues related to medical policies and programs. Qualifications Physician (M.D. or D.O.) with a current and unrestricted physician license in a state or territory of the United States. Maintain Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists. 5 years of clinical experience. Analytical and communication skills. Strategic thinking skills. Proficiency in computer skills (including software applications such as Microsoft Office Product and Lotus Notes) required for electronic documentation of case reviews. Preferred Requirements 3 years Managed Care experience. This is a remote role. Benefits We offer a robust total rewards package, including health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, and other incentives. Base Pay Range $191,500.00 - $355,600.00 Employment & EEO Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. #J-18808-Ljbffr