Remote Medical Director at The Judge Group Inc. in Nashville, Tennessee

Job Description:

Location: Nashville, TN

Salary: $120.00 USD Hourly - $130.00 USD Hourly

Description: Our client is currently seeking a Remote Medical Director!



Looking for candidates that live in the Nashville, TN area!



This is a temp-to-perm position, working Mon-Fri, 40 hours/week



The Medical Director will work closely with the National Medical Director to identify opportunities to manage and improve clinical reviews and processes, deploy new innovations, and collaboratively engage clinical expertise across the Enterprise.


This job will have the following responsibilities:

• Provides clinical expertise and support for all departments and divisions related to Medicare Supplement (Medigap) and Individual Supplemental Health and Life (SHL) Insurance products, including but not limited to, Underwriting, Legal, Marketing, Operations, Product, and Claims.


• Provides clinical resources and education to a multi-disciplinary team of nonclinical staff for CSB, responsible for supporting Medigap underwriters in all aspects of the underwriting process, assists SHL Claims Representatives with complex claims consults, appeals and reviews, rescissions, as well as fraud and abuse cases.


• Oversees the Supplemental Benefits Clinical Team (SBCT), which is a multifunctional team that includes Medical Directors, pharmacist(s), data analyst(s), and other ad hoc members as needed from across the Enterprise.


• Responsible for clinical input to the development of new innovative tactics and methodologies to improve cost containment for Medigap and SHL products, such as Preventive Care, vendor solutions, and other medical management initiatives.

Qualifications & Requirements:

• Board-certified physician with current unrestricted medical license


• A minimum of 10-years of clinical practice experience. Candidates must be able to obtain medical license and other state licenses as needed.


• Experience in Medigap, Supplemental Health Insurance, and Medical Underwriting is preferred.


• MBA or equivalent experience preferred.


• Demonstrated ability to effectively educate clinical staff and non-clinical staff.


• Strong computer skills and technical independence. Data science background a plus.

Thank you for your time, we look forward to working with you!


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Contact: croche01@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now