Remote Medical Director – Medicare & Regulatory Compliance

A leading health insurance company is seeking a Medical Director to evaluate the medical necessity of services for Medicare and Medicaid members while ensuring compliance with national guidelines and policies. The role requires an MD or DO degree, board certification, and a minimum of 10 years of clinical experience. This remote position includes responsibilities like reviewing clinical cases and identifying operational improvement opportunities.

The ideal candidate will communicate effectively and be adaptable in a dynamic healthcare environment.
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