Physical Medicine and Rehabilitation Medical Director
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Job Description
Medical Director providing administrative oversight and resource guidance in a healthcare setting. Analyzing medical data and researching new procedures while maintaining relationships with providers.
Responsibilities:
- Provides administrative oversight to the medical staff
- Analyzes medical review utilization data
- Researches new medical procedures or technology
- Acts as a resource to providers and internal staff on issues concerning medical policies
- Supports operations in the form of case review on both medical and regulatory matters
- Develops claim adjudication criteria for situations requiring medical judgment
- Provides input on issues and operational policies, processes, and procedures
- Educates staff and medical community on various aspects of medical policy and program administration
- Develops and updates medical policy in consultation with regulatory personnel, medical consultants, and professional societies
- Develops external relationships with the medical community and serves as liaison between these entities and the contractors
- Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization
- Conducts research into new or controversial medical procedures and technology
Requirements:
- Doctorate in a job related field
- 5 years post graduate experience in direct patient care
- Excellent verbal and written communication skills
- Excellent customer service, organizational, and presentation skills
- Good judgment skills
- Proficiency in spelling, punctuation, and grammar
- Ability to persuade, negotiate, or influence others
- Ability to work as a team member as well as a leader
- Knowledge of medical and utilization review techniques
- Active state medical license and current board certification in a recognized specialty
Benefits:
- Subsidized health plans, dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more
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