Radiology Appeals Medical Director

VirtualVocations
Hamilton, New Jersey, United States
Full-time

A company is looking for an Appeals and Grievances Medical Director specializing in Radiology.Key ResponsibilitiesConduct clinical review and adjudication of appeals and grievances for various health plan productsEngage with medical directors and network management regarding access, availability, and quality issuesParticipate in organizational committees and projects, providing clinical and strategic inputRequired QualificationsMD or DO with an active, unrestricted licenseBoard Certified in an ABMS or AOBMS specialty5+ years of clinical practice experience2+ years of Quality Management experienceIntermediate or higher proficiency with managed care

2 days ago
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