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2 дня назад

Associate Medical Director - Post Acute Care

179 503 - 307 732$
Формат работы
hybrid
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Associate Medical Director - Post Acute Care (Medical Management): Supporting post-acute care utilization management through clinical case reviews, physician-to-physician calls, and medical necessity determinations with an accent on board-certified specialty practice and consistent application of medical policies. Focus on evaluating complex service requests, resolving grievances and appeals, and escalating cases requiring Medical Director review or policy interpretation.

Location: Virtual full-time work is available, except for required in-person training. Candidates must be within a reasonable commuting distance of the posting locations in California, Florida, Illinois, Nevada, or Washington. Schedule: 11:00 AM–8:00 PM CT, with one weekend coverage shift per month. Part-time options require at least one weekend day per week.

Salary: $179,503–$307,732 per year. Sign-on bonus: $10,000.

Company

hirify.global is a Fortune 25 healthcare company focused on improving lives and simplifying healthcare through integrated clinical, behavioral, social, pharmacy, research, operations, and technology services.

What you will do

  • Support medical management staff by ensuring timely and consistent medical decisions for members and providers.
  • Complete clinical case reviews within the applicable board-certified specialty.
  • Conduct physician-to-physician calls to gather information for medical necessity determinations.
  • Make medical necessity determinations for specialty-specific grievances and appeals.
  • Apply medical policies consistently and escalate cases requiring Medical Director review or policy interpretation.

Requirements

  • MD or DO degree required.
  • Board certification from an applicable American Board of Medical Specialties or American Osteopathic Association board required.
  • Active, unrestricted medical license to practice medicine or a health profession required.
  • At least 3 years of clinical experience after residency.
  • Ability to work within reasonable commuting distance of the listed posting locations and attend required in-person training.

Nice to have

  • Clinical experience in inpatient post-acute care.
  • Board certification in Physical Medicine and Rehabilitation.

Culture & Benefits

  • Virtual work model with flexibility and autonomy outside required in-person training.
  • Medical, dental, vision, short- and long-term disability, and life insurance benefits.
  • Paid holidays, paid time off, incentive bonus programs, and wellness programs.
  • 401(k) contribution and stock purchase plan.
  • Financial education resources and professional growth opportunities.

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