✨ About The Role
- The Associate Medical Director will support the medical management staff in making timely medical decisions.
- Responsibilities include ensuring the completion of clinical case reviews for their specialty.
- The role involves making physician-to-physician calls to gather necessary medical information.
- The Associate Medical Director will make medical necessity determinations for grievances and appeals.
- Consistent use of medical policies in decision-making is a key responsibility of this position.
âš¡ Requirements
- The ideal candidate will possess an MD and board certification in a medical specialty.
- A minimum of 3 years of post-residency or fellowship clinical experience is strongly preferred.
- Familiarity with Outlook, Microsoft Teams, and Microsoft Office Suite products is essential.
- Advanced computer skills are preferred to effectively manage clinical operations.
- The candidate should have a strong understanding of medical necessity determinations and policies.