Remotery

Medical Director

Posted May 20

This is a fully remote position, open to applicants in North America.

πŸ“‹ Description

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.


⛳️ Requirements

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.


🏝️ Benefits

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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