Jobs
>
Rockville

    Medical Director - Rockville, United States - Hendall Inc

    Default job background
    Description

    Job Description

    Job Description

    OVERVIEW

    Hendall is seeking a Doctor of Medicine or a Doctor of Osteopathy to serve as Chief Medical Director. The successful candidate will utilize clinical expertise and judgment to effectively focus review activities and interact with Medical Directors of other contractors, as necessary. The position will keep abreast of medical practice and technology changes that may result in improper billing to brief review staff and ensure proper claim payment determinations. In any questionable payment determinations, the Medical Director is responsible for providing final review decisions and direction for review staff.

    Please note this is a full-time, remote position.

    The Medical Director shall possess a combination of experience and qualifications meeting the following criteria:

    • A minimum of three years of experience practicing medicine as a board-certified physician with no previous sanctioning or exclusion from the Medicare program
    • Experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines
    • Extensive knowledge of the Medicare program, particularly the coverage and payment rules
    • Public relations experience such as working with physician groups, beneficiary organizations, and/or congressional offices
    • Education and Licensure:
    • Doctor of Medicine or Doctor of Osteopathy Degree
    • Current licensure to practice medicine

    Hendall Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.



  • Medical Practice - Nephrology Rockville, United States

    The responsibilities include oversight of operations, facilities management, revenue cycle activities and various programs in conjunction with the Executive Director. This role assists in planning and executing initiatives to solve problems with goals of improving efficiency, acc ...


  • Emergent Biosolutions Gaithersburg, United States

    We go where others won't, taking on some of the biggest public health challenges to protect and enhance millions of lives, and create a better, more secure world. Here, you will join passionate professionals who advance their scientific, technical and professional skills to devel ...

  • Fairfax Neonatal Associates

    Medical Director

    1 week ago


    Fairfax Neonatal Associates Fairfax, United States

    **Position Title: Medical Director** · Independent physician practice is actively seeking a Board Certified Neonatologist, with recent Level III NICU Medical Director experience, to join our busy and expanding practice. We are located in Northern Virginia. We provide Neonatology ...

  • ARC Hospice FL

    Medical Director

    2 weeks ago


    ARC Hospice FL Leesburg, United States

    Overview: · We are seeking a dedicated Medical Director to join our Hospice team. The Medical Director will oversee the medical operations, provide leadership, and ensure the delivery of high-quality patient care. · **Duties**: · - Develop and implement medical policies and proce ...

  • Hendall, Inc.

    Medical Director

    1 week ago


    Hendall, Inc. Rockville, United States

    Hendall is seeking a Doctor of Medicine or a Doctor of Osteopathy to serve as Chief Medical Director. The successful candidate will utilize clinical expertise and judgment to effectively focus review activities and interact with Medical Directors of Medical Director, Director, Me ...

  • Hendall Inc.

    Medical Director

    1 week ago


    Hendall Inc. Rockville, United States

    OVERVIEW · Hendall is seeking a Doctor of Medicine or a Doctor of Osteopathy to serve as Chief Medical Director. The successful candidate will utilize clinical expertise and judgment to effectively focus review activities and interact with Medical Directors of other contractors, ...

  • Georgetown Hill Early School

    Director Medical

    2 weeks ago


    Georgetown Hill Early School Rockville, MD, United States Full time

    A Director position is full time with hours between 9am - 6pm, Monday through Friday. Demonstrate effective leadership among campus level staff · Facilitate the day-to-day operations of a busy preschool campus · Spearhead the enrollment of a campus including marketing efforts, ...


  • QuistMD - The Flexibility, Sports & Rehabilitation Clinic Washington, United States

    QuistMD is an osteopathic and musculoskeletal rehabilitation clinic that values quality over quantity when it comes to our patients. As an out of network practice, our providers have the flexibility to be innovative and design treatment plans that truly cater to our patient's nee ...


  • Woodbine Rehabilitation and Healthcare Center Alexandria, United States

    **Director of Medical Records** · **Same day Pay Available** · Join the team at our Healthcare Center as a member of our proud and caring staff. We care for our staff while we care for our residents and patients. As a member of our Healthcare Center, you will enjoy being part of ...


  • Holy Cross Health Silver Spring, United States

    **Employment Type**: · Part time · **Shift**: · Day Shift · **Description**: · Come join our Clinical Informatics team at Holy Cross Health, Trinity Health Maryland Region. This is a 20 hours/week, Monday - Friday position · We are part of the nationwide Trinity Health family bri ...


  • FCS, Inc. Rockville, MD, United States

    (New) Less than one hour from Baltimore · Join a facility with a reputation of compassionate care. · This medical center facility serves over 117 beds serving children, adolescents, adults and older adults. This position requires administrative and clinical oversight for inpati ...


  • National Veterinary Associates Chantilly, United States

    **Job Description**: · - Pender Veterinary Centre-Chantilly in Chantilly, VA is searching for Managing Veterinarian to join their team- **Up to a $20k Sign-On Bonus, 4 Day Work Week, No Nights/Holidays, Leadership Bonuses, CE Allowance**- For more than 50 years, Pender Veterinary ...


  • Inova | GoHealth Urgent Care Falls Church, United States

    At **GoHealth Urgent Care**, we GO above and beyond for our patients, communities and team members to ensure effortless, personal and connected experiences. That's why we partner with the most innovative and integrated health systems and staff our centers with the most knowledgea ...


  • Reston Hospital Center Reston, United States

    This position is incentive eligible. · **Introduction**: · Are you ready to manage in a new era as a Director Medical Staff Services REST where building a healthier tomorrow is more than a job? Our Reston Hospital Center team is committed to partnership, innovation, legacy and im ...

  • Health Talent Pro

    Medical Director

    3 weeks ago


    Health Talent Pro Gaithersburg, United States

    Overview · Our client is seeking a Board Certified or Board Eligible Geriatric Medicine physician to join our Asbury Health Partners team located in Gaithersburg, Maryland. This is an excellent opportunity for the right Geriatrician to work with a dynamic team of clinical profess ...

  • RELODE

    Medical Director

    3 weeks ago


    RELODE Gaithersburg, United States

    Job Description · Job DescriptionBenefits:Company Transportation · Extended Leave · 403(b) · CME Reimbursement · Full Benefits · Student Loan Repayment · Education Reimbursement · Travel Reimbursement · Competitive salary · Dental insurance · Flexible schedule · Paid time off · C ...


  • Supernus Rockville, United States

    Job Summary · Become part of our mission to improve the lives of patients suffering from CNS diseases today. We are looking for an enthusiastic, highly motivated, and experienced Associate Director to join our Medical Writing (MW), Clinical Research department at Supernus Pharmac ...


  • Regeneron Pharmaceuticals Inc. Washington, United States

    As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Gastroenterology and Allergy to support the clinical and business objectives across the product life cycle. We deliver strategic and operational support by establish ...


  • Regeneron Pharmaceuticals Inc. Washington, United States

    As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based, medical science liaison in the General Medicine franchise. This position requires a strong cardiovascular background with an emphasis on dyslipidemia and rare disease. We deliver strat ...


  • Bond Vet Bethesda, MD, United States

    To achieve our vision, Bond Vet is currently seeking an Medical Director to help lead the medical operations of the Clinic · The Medical Director ensures patients receive a high standard of care and that Clinic team members work collaboratively in a positive workplace environmen ...