Medical Director

Overview The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The CMD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back end support for the client’s Medical Director. The CMD will evolve as the trusted advisor for the Health Plan in terms of medical payment policy. Responsibilities Supporting existing client growth and new sales activity by identifying value-creation opportunities for our clients. Presents appropriate payment policy to clients for adoption based on review of data analytics. Defines mission and strategy with Client Engagement Leader; delivers strategy to client’s medical policy team. Works alongside Medical Policy team to evaluate and validate editing. Acts …