Medical Director, Auditing and Medical Review
- Are you ready to put your clinical experience to work in a leadership position?
- Are you able to recognize efficient and effective care?
- Do you support the use of evidence based clinical protocols?
If you answered yes to all of the above questions, you may be the candidate we are seeking. We are looking for full-time and part-time Medical Directors to perform medical reviews and provide leadership for commercial and governmental healthcare audit programs.
In this position, you will to review patient charts for medical necessity concerns, identify patterns in medical necessity issues and present audit findings to clients and stakeholders. You will become proficient in Medicare and Medicaid regulations and mentor other clinical staff.
Our Medical Directors are responsible for analyzing patient records and helping to determine if care follows evidence-based guidelines and meets medical necessity requirements. You must be able to write clearly to explain and support your decisions. Put your intelligence and curiosity to work while increasing your understanding of healthcare across many specialties.
Applicants are required to have 3 - 5 years in clinical practice, and a current, clean, active and unrestricted physician license. Experience with government and commercial healthcare programs, prior medical director experience and utilization management knowledge are a plus. Full-time positions include benefits and involve occasional travel.