Supplemental Assoc. Medical Dir
Posted 2025-03-15
Remote, USA
Full-time
Immediate Start
? * REMOTE & WEEKENDS ONLY **
Summary:
The Associate Medical Director provides support for Community Health Choice medical management programs. This includes performing medical necessity reviews, with peer-to-peer interactions as needed; appeals of adverse determinations.
Responsibilities: ? The Associate Medical Director provides support for Community Health Choice medical management programs. ? This includes performing medical necessity reviews, with peer-to-peer interactions as needed. ? Appeals of adverse determinations.
Qualifications: ? M.D. or D.O. Degree and Licensure in the State of Texas, Completion of Residency and Board Certification with preference for the Primary Care Specialties ? Two (2) years prior managed care experience, to include proficiency in performing medical necessity reviews, benefit coverage reviews, and reviews of appeals of adverse determinations; Experience with STAR, CHIP and Health Insurance Marketplace programs preferred; Three (3)years clinical experience ? Software Operated: Microsoft Office (Word, Excel, Outlook)
Preferred Skills:
? Communication Skills: Above Average Verbal (Heavy Public Contact) Exceptional Verbal (e.g., Public Speaking) Writing /Composing: Correspondence/Reports
? Other Skills: Analytical/Medical Terminology
? Advanced Education: Doctorate Major: M.D. or D.O.
? Work Schedule: Flexible
Pay range and compensation package - $84-$112 HOURLY
For more such jobs please click here!