Medical Director - Clinical Review

Job Summary

A company is looking for a Medical Director - Clinical Review - Remote.

Key Responsibilities:

• Provide high-quality DRG-based clinical reviews within the clinical review program
• Collaborate closely with medical directors, nurse coders, and operations teams to enhance performance
• Identify opportunities to optimize program success in conjunction with other healthcare initiatives

Required Qualifications:

• M.D. or D.O. with an active, unrestricted medical license
• Board certified in adult primary care fields or related subspecialties
• 3+ years of clinical experience post residency