Medical Director

941

Trenton, NJ, United States
Base: $45ph - $80ph; bonus/equity: not specified; ...
Nj medicaid program expertise
Utilization review experience
Medical necessity guidelines development
The Medical Director will provide clinical oversight and guidance for the administration of Non-Emergency Medical Transportation (NEMT) services under the New Jersey Medicaid program

Job Summary

  • The Medical Director will provide clinical oversight and guidance for the administration of Non-Emergency Medical Transportation (NEMT) services under the New Jersey Medicaid program.
  • The role involves ensuring NEMT services meet medical necessity and coverage requirements, developing policies, and acting as a liaison with various stakeholders.
  • Benefits include health and life insurance, dental and vision plans, 401(k) with match, paid time off, and tuition reimbursement.

Matching Summary

The Medical Director will provide clinical oversight and guidance for the administration of Non-Emergency Medical Transportation (NEMT) services under the New Jersey Medicaid program.

Salary

Base: $45/HR - $80/HR; Bonus/Equity: Not specified; Benefits: Health and Life Insurance Plans, Dental and Vision Plans, 401(k) with a company match, Paid Time Off and Holiday Pay, Maternity/Paternity Leave

Skills & Requirements

Must-have

  • NJ Medicaid program expertise
  • Utilization review experience
  • Medical necessity guidelines development
  • Clinical liaison with healthcare providers
  • Compliance with state regulations

Nice-to-have

  • Collaborative approach to care access
  • Public relations support
  • Leadership mentoring opportunities

Key Requirements

  • Licensed physician (MD/DO), RN, or NP in NJ
  • Minimum 3 years utilization review experience
  • Strong understanding of NJ Medicaid programs
  • Experience developing coverage policies

Work Rights

Not specified

Tailored Resume

Cover Letter