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Medical Director

2 months ago


Orlando, Florida, United States VirtualVocations Full time

Medical Director Job Description

**Key Responsibilities:**

Review health claims and clinical records to determine service authorization based on national guidelines and regulatory compliance.

Engage in discussions with external physicians to gather clinical information and resolve conflicts.

Support regional market priorities through collaboration with healthcare professionals and community groups.

**Required Qualifications:**

* MD or DO degree
* 5+ years of direct clinical patient care experience, preferably in an inpatient environment or with a Medicare population
* Current and ongoing Board Certification in an approved ABMS Medical Specialty
* A current and unrestricted medical license in at least one jurisdiction
* No current sanctions from Federal or State Governmental organizations

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