Medical Director (Appeals)
Core
Oversees assigned aspects of medical policies and programs; performs medical reviews and interacts with provider communities.
Role type
Medical Director (Appeals)
Builds
Medical policies and review programs for assigned areas
Domain
Healthcare / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medical policy development, clinical review, provider interaction, strategic thinking, analytical skills
Preferred skills
Managed care experience, Cardiology, Gastroenterology, Rheumatology, Dermatology, Hematology, Oncology, Internal Medicine
Responsibilities
Develop medical policies, perform medical reviews, interact with provider communities
Seniority
Senior, hands-on IC
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