Gastroenterology Medical Director Opportunity
2 weeks ago
We are seeking a highly skilled and experienced Gastroenterology Medical Director to join our team. As a Medical Director, you will be responsible for conducting chart and peer reviews from the comfort of your own home office.
This is a full-time position with a competitive base salary and excellent benefits. You will have the opportunity to work with a team of over 500+ Physician Peers to ensure patients receive proper care via evidence-based decision making.
About the GI Program:
- Cutting-edge. Continue learning and growing with the latest and greatest literature and guidelines in Gastroenterology.
- Impact patient care nationally. Our organization has one of the largest Gastroenterology Prior Authorization programs in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones
- Use your analytical mindset to provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria.
- Be a team player and work collaboratively with over 500+ Physician Peers to help ensure patients receive proper care via evidence-based decision making.
- M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA)
- Recent practice experience in direct patient care (within the past 18 months)
- Must have a minimum of 5 years clinical experience, beyond residency/fellowship
- Knowledge of applicable state and federal laws. Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) standards a plus
- The ability to commit to a set, weekly work schedule (Monday through Friday)
- Strong computer skills; ability to work autonomously with automated processes and computer applications and systems is required
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