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State Licensed Chief Medical Officer

10/1/2025

No location specified

Job Summary

A company is looking for a Chief Medical Officer.

Key Responsibilities
  • Build trusted partnerships with client Medical Directors and senior payer stakeholders
  • Shape payer-specific payment policies and provide clinical guidance during audits and appeals
  • Collaborate with cross-functional teams to ensure clinically sound outputs and represent clinical perspectives in product innovation
Required Qualifications
  • MD or DO with an active license
  • 10+ years of experience in payment integrity, reimbursement operations, or claims auditing
  • Strong knowledge of CMS, Medicare, Medicaid, and commercial payer adjudication rules
  • Proven executive-level client engagement experience
  • Demonstrated leadership with the ability to translate clinical insights into strategy

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