What are the responsibilities and job description for the Director of Medical Affairs position at PacificSource?
We are seeking a results-driven medical director to lead the management of our Commercial, Medicare, and Medicaid Lines of Business.
About the Opportunity:
- Lead the management of our Lines of Business
- Makes clinical determinations on coverage for pre- or post-service requests
- Develop strategy and engage with regulatory entities
The ideal candidate will have a strong background in healthcare leadership, with experience in health insurance or provider organizations. They will also possess excellent knowledge of risk adjustment and hierarchical condition categories.