California Licensed Cardiology Director

Company: VirtualVocations
Location: Murfreesboro
Posted on: April 17, 2025

Job Description:

A company is looking for an Appeals and Grievances Medical Director specializing in Cardiology, working remotely.
Key Responsibilities

Conduct individual case reviews for appeals and grievances related to various health plan products
Respond to regulatory inquiries from the Department of Insurance, Department of Managed Healthcare, and CMS
Collaborate with medical directors and network management on access, availability, and quality issues

Required Qualifications

MD or DO with an active, unrestricted license
Board Certified Cardiologist in an ABMS or AOBMS specialty
5+ years of clinical practice experience
2+ years of Quality Management experience
Intermediate proficiency with managed care

Keywords: VirtualVocations, Chattanooga , California Licensed Cardiology Director, Executive , Murfreesboro, Tennessee

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