Medical Director - Pharmacy Appeals

Company: VirtualVocations
Location: Grand Rapids
Posted on: November 2, 2024

Job Description:

A company is looking for a Medical Director - Pharmacy Appeals to review Medicare drug appeals and ensure compliance with regulations.

Key Responsibilities

Review moderately complex to complex Medicare drug appeals for coverage
Collaborate with clinicians and support staff to provide optimal value-based care
Participate in Peer to Peer discussions, hearings, and support for CMS audits

Required Qualifications

MD or DO degree
5+ years of direct clinical patient care experience post-residency or fellowship
Current and ongoing Board Certification in relevant medical fields
A current and unrestricted medical license in at least one jurisdiction
No current sanctions from Federal or State Governmental organizations

Keywords: VirtualVocations, East Lansing , Medical Director - Pharmacy Appeals, Executive , Grand Rapids, Michigan

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