Medical Director (Jacksonville)

Job Title : Medicare Contractor Medical Director (CMD)

Position Summary :

The Medicare Contractor Medical Director (CMD) provides medical leadership and decision-making in support of the Medicare program. This role serves as a liaison between the Centers for Medicare & Medicaid Services (CMS) and stakeholders, with responsibility for developing Local Coverage Determinations (LCDs), ensuring compliance with Medicare policies, reviewing medical claims, and advancing evidence-based healthcare practices.

Key Responsibilities :

Clinical Expertise & Consultation (30%)

• Lead clinical program outreach to providers, suppliers, and beneficiaries.
• Direct and assist in provider education and the development of clinical guidelines.
• Stay current with medical practice and technology advancements.
• Serve as a subject matter expert in clinical areas relevant to Medicare.
• Provide consultation to internal staff and external stakeholders.
• Utilize scientific literature and claims data analytics to inform medical policy and reviews.

Collaboration & Leadership (30%)

Program Integrity (20%)

Medical Review & Appeals (10%)

Provider Education & Communication (10%)

Required Qualifications :

Preferred Qualifications :

EOC

Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.

Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law