Medical Director

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Medical Director Job Description

The Medical Director is responsible for administering physical and/or behavioral health medical services to ensure cost-effective medical care. They develop and implement programs to improve quality and outcomes, provide clinical consultation, and serve as a strategic advisor.

  • Supports clinicians to respond to members and providers.
  • Provides guidance for clinical operational aspects of a program.
  • Conducts peer-to-peer clinical reviews and appeal case reviews.

Requirements include a medical degree, board certification, and 10 years of clinical experience. Preferred skills include strong communication, problem-solving, facilitation, and analytical skills.

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