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 as a clinical liaison with our health plan clients.

Lend guidance to the research & development efforts of our Medical Policy and Solutions teams. Have in-depth knowledge of claims, claims adjudication, medical policy edits and configurations. Inspire trust and credibility, deliver on commitments, provide value-add analytics.

Assist in discovering opportunities for other Cotiviti product sales. Other duties as assigned. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required.

This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

Minimum Qu