Medical Director/Clinician overseeing clinical affairs at a health center serving underserved communities. Engaging with a dynamic healthcare team in New York City.
About the role
- Medical Director Associate overseeing pharmacy benefit management operations in CarelonRx. Conducting prior authorization reviews and guiding clinicians for compliance with regulations.
Responsibilities
- Provide clinical guidance for pharmacy prior authorizations
- Support clinicians for timely responses to members and providers
- Conduct peer-to-peer prior authorization reviews
- Participate in physician on-call weekend rotation for a 24x7 unit
Requirements
- Requires MD or DO and Board certification approved by ABMS or AOA
- Active unrestricted medical license to practice medicine
- Minimum of 5 years of clinical experience
- Utilization management experience preferred
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Paid holidays
- Paid Time Off
- Medical coverage
- Dental coverage
- Vision coverage
- Short and long term disability benefits
- Wellness programs
- Financial education resources
Job title
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Experience level
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Degree requirement
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