ApplyMedical Director - Spine
Posted about 2 months agoViewed
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💎 Seniority level: Director, 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
📍 Location: United States of America
💸 Salary: 174070.0 - 374920.0 USD per year
🔍 Industry: Health Insurance
⏳ Experience: 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
🪄 Skills: Quality Assurance
Requirements:
- M.D. or D.O. with Board Certification in Orthopedic Spine or Neurosurgery.
- Active and current state medical license without encumbrances.
- 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
- Previous healthcare insurance experience preferred.
Responsibilities:
- Acts as a Subject Matter Expert (SME) in Orthopedic Spine or Neurosurgery.
- Expands medical management programs to meet member needs across care continuum.
- Supports Medical Management staff with timely responses to members and providers.
- Leads utilization review and quality assurance.
- Provides clinical expertise to support medical management programs.
- Acts as the primary business and clinical liaison to network providers.
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