Neurologist; ABPN Medical Director; Remote​/PT

Neurologist (ABPN) Medical Director (Remote/FT or PT)

Seeking a highly skilled and detail oriented Medical Director to join our team. The Medical Director will play a critical role in assessing the quality of clinical services provided to Medicare beneficiaries ensuring compliance with clinical guidelines and regulations while helping to drive improvements in care delivery.

After completion of mentored training, daily work includes reviewing and analyzing clinical records, charts and case files to ensure that all clinical practices, treatments and services provided to Medicare beneficiaries meet the highest standards of care and adhere to CMS regulations, policies and procedures. The ideal candidate works closely with multidisciplinary teams to provide insights and feedback on clinical cases and improvement opportunities.

• Can work REMOTE from any U.S. state. Board Certification and willingness to acquire a WA state license is required.
• Case Review: Conduct regular reviews to monitor the appropriateness of care provided to beneficiaries and recommend any necessary interventions or adjustments to align with CMS National and Local Coverage Determinations (NCD/LCD).
• Training &
  
  Education:
  
  Assist in the training and development of teams on CMS NCD/LCD guidelines, clinical documentation and compliance.
• Clinical Guidance: Provide recommendations for improvements in clinical practices based on findings from record reviews, data analysis, and best practices in the field.
• Quality Improvement: Participate in the development and implementation of quality improvement initiatives to enhance care delivery and achieve CMS performance goals.
• Documentation: Maintain accurate and up to date records of all clinical reviews, audits and quality improvement efforts.

• Board-certified clinician (MD or DO) in a specialty recognized by the American Board of Medical Specialties.
• Board certified for at least 3 years.
• Currently hold an active, valid and unrestricted license to practice medicine in at least one U.S. state, territory, or the District of Columbia.
• Must not be excluded from participating in Medicare, Medicaid or the Children’s Health Insurance Program.
• State of Washington license to practice medicine preferred or willingness to obtain.
• Primary specialty designation aligns with neurology.

• Excellent communication skills (verbal and written) with the ability to collaborate effectively with diverse healthcare teams.
• Familiarity with electronic health records (EHR) and documentation and coding practices (ICD-10, CPT).
• Knowledge of CMS regulations and Medicare requirements.
• Strong attention to detail and organizational skills to manage multiple tasks and priorities.
• Ability to work in a fast paced, deadline driven environment.

Note: This position requires some weekend shifts. Primarily remote with occasional on-site requirements, which will not occur right away if asional travel may be required for team meetings and onsite reviews.

• Full Time Work From Home.
• Annual Compensation paid biweekly and commensurate based on relevant experience.
• Quality of life with a remote predictable, full-time schedule.
• Comprehensive training and education program.
• Opportunities for career growth within the organization.
• Medical, Dental, Vision coverage, 401K (and much more).
• Holidays, paid time off, long-term disability insurance, and life insurance.
• Allowance for CME and/or license renewals.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods.

Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs. Team members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

Additional functions and requirements may be assigned by supervisors as deemed appropriate.