Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experience, Family Medicine and Appeals Experience Preferred")

Care Source

19 days ago

United States$195k–341kFull TimeFamily Medicine

✓ No Weekends

Apply

Job Description

About the Role

Join CareSource as a Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experience, Family Medicine and Appeals Experience Preferred") in United States.

Key Responsibilities

makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer

Benefits & Compensation

In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Work Schedule

Full-time position.

No explicit call, weekend, or night shift information provided.

Apply to join CareSource as a Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experience, Family Medicine and Appeals Experience Preferred").

Key Skills

Clinical ConsultationCase ReviewPrior AuthorizationPeer-to-Peer DiscussionsProvider EducationClinical AppealsFraud InvestigationQuality ImprovementUtilization Data ReviewPolicy DevelopmentPractice GuidelinesRegulatory ComplianceCommunicationDecision MakingConflict ResolutionDiplomacy

Requirements

Candidates must possess an MD or DO degree from an accredited program, completion of a residency (preferably in primary care), and a minimum of five years of clinical practice experience. Managed care medical review experience and a relevant Master's degree are preferred, along with maintaining a current, unrestricted medical license and achieving MCG Certification.

HealthcareManagement & Leadershipvia Workday

Position Insights

WeekdayDoc rates Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experience, Family Medicine and Appeals Experience Preferred") at Care Source a 3.5/10 for work-life balance — below average.

This position offers no weekend shifts.

Compensation ranges from $195k to $341k annually.

Key skills for this role include Clinical Consultation, Case Review, Prior Authorization, Peer-to-Peer Discussions, Provider Education.