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California Licensed Neurology Medical Director
A company is looking for an Appeals and Grievances Medical Director - Neurologist. Key Responsibilities Conduct individual case reviews for appeals and grievances related to various health plans Respond to regulatory inquiries from the Department of Insurance, Department of Managed Healthcare, and CMS Collaborate with medical directors and staff on access, availability, and quality issues Required Qualifications MD or DO with an active, unrestricted license Board Certified in Neurology 5+ years of clinical practice experience 2+ years of Quality Management experience Intermediate proficiency in managed care
A company is looking for an Appeals and Grievances Medical Director - Neurologist.
Key Responsibilities
Conduct individual case reviews for appeals and grievances related to various health plans
Respond to regulatory inquiries from the Department of Insurance, Department of Managed Healthcare, and CMS
Collaborate with medical directors and staff on access, availability, and quality issues
Required Qualifications
MD or DO with an active, unrestricted license
Board Certified in Neurology
5+ years of clinical practice experience
2+ years of Quality Management experience
Intermediate proficiency in managed care