Remote Medical Director - Clinical Quality & CMS Compliance
Virtix Health LLC
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Benefits offered by this job
Job summary
Virtix Health is seeking a highly skilled Medical Director to join our remote team. The role focuses on assessing the quality of clinical services for Medicare beneficiaries, ensuring CMS compliance, and driving improvements in care delivery.
The position requires a board-certified physician with an active US license, strong analytical capabilities, and collaboration with multidisciplinary teams to support high standards of patient care.
Qualifications
- Board-certified physician with an active US license.
- Experience with CMS regulations and NCD/LCD guidance is preferred.
Responsibilities
- Conduct case reviews to ensure appropriateness of care per CMS guidelines.
- Participate in Peer-to-Peer discussions for prior authorization.
- Assist in Training & Education on CMS guidelines and documentation.
- Provide clinical guidance based on reviews and data analysis.
- Lead quality improvement initiatives to enhance care delivery.
- Maintain accurate records of reviews and quality activities.
Skills
Education
Job description
Virtix Health is seeking a highly skilled Medical Director to join our remote team. The role focuses on assessing the quality of clinical services for Medicare beneficiaries, ensuring CMS compliance, and driving improvements in care delivery.
The position requires a board-certified physician with an active US license, strong analytical capabilities, and collaboration with multidisciplinary teams to support high standards of patient care.
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