Medical Director - Medicare Appeals

Description: • Responsibilities of this Medical Director role are related to Part C Medicare Appeals • Provide support to Medicare appeal nurses • Provide after hours and weekend coverage on a rotational basis • Collaborative work with Medicare Quality and Compliance on an ongoing basis • Provide ongoing education/subject matter expertise regarding Medicare policy and appeals • Participate in ongoing initiatives to improve appeals team efficiency and clinical consistency Requirements: • Two (2) or more years of experience in a Health Care Delivery System • Medical License (MD) or (DO) • An Active state medical license without encumbrances • Board Certified in ABMS Recognized Specialty • Medical Management - Medicare Complaints, Grievance & Appeals experience (preferred) • Health Plan Experience Highly Preferred Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access • Many other benefits depending on eligibility Apply Job!