JOB SUMMARY:
The Associate Medical Director provides support for Community Health Choice's medical management programs. This includes performing medical necessity reviews, with peer-to-peer interactions as needed; appeals of adverse determinations; some clinical input and oversight for Care (Disease) Management, Quality Improvement, Credentialing, and Preventive Medicine programs; working with Provider Relations to maintain and improve relationships with the provider community; and other duties as assigned by the Senior Vice-President of Medical Affairs.
MINIMUM QUALIFICATIONS:
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