About this role
Medical Director Medicaid at Geisinger. Location: Pennsylvania or United States. Role: leading clinical, ensuring compliance, liaising agencies Requirements: MD/DO with active PA licensure (or ability to obtain within 6 months), 5+ years clinical experience, 3+ years health-plan medical leadership in Medicaid, experience with utilization management, appeals, medical policy, and familiarity with NCQA/URAC and Medicaid regulations. Category: Healthcare Services - Advanced Practice Seniority: Senior Level Tools: InterQual, MCG, NCQA, URAC, HEDIS Certifications: md, do, board, pennsylvania physician, cphq Commitment: Full Time Workplace: Remote Languages: English