
Medical Director
Posted May 20

Posted May 20
This is a fully remote position, open to applicants in North America.
β’ Evaluate clinical cases to ascertain the medical necessity of services for Medicare and Medicaid beneficiaries.
β’ Ensure adherence to review policies, procedures, and regulatory standards.
β’ Implement clinical guidelines, CMS policies, and requirements for Medicare/Medicare Advantage/Medicaid.
β’ Recognize opportunities for enhancements in medical management operations.
β’ Participate in call rotations, which include weekend and after-hours coverage.
β’ Foster a collaborative team environment that promotes organizational excellence.
β’ Provide outstanding consumer experiences.
β’ Assist Home Solutions and other tasks as delegated by OneHome leadership.
β’ MD or DO degree.
β’ Current, active, and continuous board certification from the American Board of Medical Specialties (ABMS) or the American Osteopathic Association Bureau of Osteopathic Specialties (AOABPS).
β’ National Board of Physicians & Surgeons (NBPAS) certification is not recognized.
β’ Possess a current and unrestricted state medical license in at least one state, with a willingness to obtain additional licenses as needed for various states in the assigned region.
β’ No sanctions from Federal or State Government entities.
β’ A minimum of 5 years of direct clinical patient care experience after residency or fellowship.
β’ Capability to meet credentialing standards.
β’ Intermediate to advanced proficiency in Microsoft Office and Internet navigation.
β’ Excellent verbal and written communication skills, with the ability to analyze and interpret data clearly and accurately.
β’ Flexible and eager to learn new technologies to improve workflow efficiency.
β’ Medical, dental, and vision insurance.
β’ 401(k) retirement savings plan.
β’ Paid time off, including company holidays, personal holidays, and volunteer time off.
β’ Paid parental and caregiver leave.
β’ Short-term and long-term disability coverage.
β’ Life insurance and numerous additional opportunities.
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