Michigan Recovery Audit Contractor Medical Director
Tracking Code
3027
Job Description The Michigan RAC Contract Medical Director provides clinical leadership and direction for HMS's Michigan RAC contract. The Medical Director is responsible for making utilization management determinations and performing quality assurance review of determinations made by HMS's physician reviewers.
Reports to: Chief Medical Officer
Essential Functions:
* Manages the physician reviewer recruitment process to ensure the availability of qualified physicians to perform reviewer activities for HMS’s Michigan RAC contract. * Provides clinical expertise to contract and project teams as requested.
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