Innova Solutions has a client that is immediately hiring for a Medical Director
Position type: Full time - Contract
Duration: 06 Months CTH
Location: Philadelphia, PA
As a Medical Director, you will:
Directly supports Utilization Management and Care Management and other business activities where involvement of a physician is determined to be in the best interest. Be responsible for rendering coverage and payment determinations based on the terms and conditions of the health plans for which serves as claims administrator, and on the terms and conditions of contracts executed networks of participating health care providers. Exercise sound decision making based on clinical guidelines for best practices, a strong knowledge of clinical medicine, the practical realities of the delivery of health care in the state of Pennsylvania, and a thorough understanding of the principle...