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Medical Director State Licensed

VirtualVocations
Saint Paul, Minnesota, United States
Full-time

A company is looking for a Medical Director (Medical Policy & Operations).Key ResponsibilitiesProvide clinical expertise and business direction for medical management programsSupport the appeal process, clinical claim review, and benefit determinationCollaborate with diverse health delivery professionals to improve healthcare servicesRequired QualificationsFive (5) or more years of experience in Health Care Delivery SystemActive and current state medical license without encumbrancesM.

D. or D.O. with Board Certification in an ABMS recognized specialtyPost-graduate direct patient care experienceHealth plan / payor experience preferred

11 days ago
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