What are the responsibilities and job description for the Medical Appeals and Grievances Director - Reconsiderations position at Cherry Hill Free Clinic?
Role: Appeals and Grievances Medical Director
Responsibilities: Conduct individual case reviews for appeals and grievances across various insurance products, respond to regulatory agencies, communicate with medical directors and staff on benefit and access issues, participate in team meetings, and provide clinical and strategic input on organizational initiatives.
Qualifications & Skills: MD or DO with active license, board certification in a non-pediatric specialty, 5 years of clinical practice, 2 years in Quality Management, managed care proficiency, strong communication, presentation, project management, data analysis, and problem-solving skills, and ability to work collaboratively.
Additional Info: This remote role offers competitive compensation, benefits, and opportunities for growth. Candidates must adhere to telecommuting policies and pass a drug test. The position aims to improve healthcare quality, equity, and access while supporting organizational and community health initiatives.
Responsibilities: Conduct individual case reviews for appeals and grievances across various insurance products, respond to regulatory agencies, communicate with medical directors and staff on benefit and access issues, participate in team meetings, and provide clinical and strategic input on organizational initiatives.
Qualifications & Skills: MD or DO with active license, board certification in a non-pediatric specialty, 5 years of clinical practice, 2 years in Quality Management, managed care proficiency, strong communication, presentation, project management, data analysis, and problem-solving skills, and ability to work collaboratively.
Additional Info: This remote role offers competitive compensation, benefits, and opportunities for growth. Candidates must adhere to telecommuting policies and pass a drug test. The position aims to improve healthcare quality, equity, and access while supporting organizational and community health initiatives.