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State Licensed Medical Director

7/5/2025

No location specified

Job Summary

A company is looking for a Medical Director - Medical Policy & Operations.

Key Responsibilities
  • Provide clinical expertise and business direction for medical management programs
  • Support clinical claim review processes, pre-certification, and appeals
  • Analyze data to identify quality improvement opportunities in healthcare services


Required Qualifications
  • Five or more years of experience in the Health Care Delivery System
  • Active and current state medical license without encumbrances
  • M.D. or D.O. with Board Certification in an ABMS recognized specialty
  • Post-graduate direct patient care experience

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