Remote Medical Policy Director — Clinical Strategy

A healthcare organization in Wisconsin is seeking a Medical Director to support their Medical Policy team. This role focuses on the ownership of commercial and Medicare Advantage medical policies, including writing clinical criteria and ensuring compliance with NCQA and CMS. The ideal candidate will possess 5 years of medical practice and 3 years in medical policy, with strong skills in critical thinking and communication.

A Doctor of Medicine degree is required. Hybrid work is available.
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