Medical Director MPO
$174,070–$374,920 year
Remote · New York, United States or Texas, United States
Job Summary
Medical Director MPO role (Remote Work at Home) across the United States focusing on clinical and payment policy, including transactional reviews for appeals, clinical claim reviews, and predetermination of covered benefits in Commercial and Medicare. Requires medical degree (MD/DO), active U.S. medical license, ABMS board certification, and minimum 5+ years in healthcare delivery; preferred health plan/payor experience and coding/reimbursement expertise; involves leadership and collaboration with diverse health professionals to improve quality and efficiency of health care services.
Required Qualifications
- MD or DO
- Active and current state medical license without encumbrances
- Board Certification in an ABMS recognized specialty
- Five (5) or more years of experience in Health Care Delivery System (clinical practice and health care industry)
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