Medical Director Grievances & Appeals

**Become a part of our caring community**
The Corporate Medical Director relies on medical background and reviews health claims. You will work on problems of diverse scope and complexity ranging from moderate to substantial.
The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. You exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Schedule is Monday-Friday with intermittent weekends**
**Responsibilities**
+ Provide clinical interpretation and determinations on the medical appropriateness of services delivered by healthcare professionals, including the application of evidence-based guidelines.