Medical Director

• Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care
• Supports new and existing customers by delivering clinical insights and recommendations that enhance the value-proposition of clinical programs
• Identifies and develops opportunities for innovation to increase effectiveness and quality
• Provides expertise, captures and shares best practices across regions to other medical directors
• Provides guidance for clinical operational aspects of a program
• Interprets existing policies or clinical guidelines and supports new policies based on changes in the healthcare or medical arena
• Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
• May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations
• May chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees
• Travels to worksite and other locations as necessary

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