Medical Director (MD)

What We Are Looking For:

We are looking for a board-certified Doctor of Medicine currently licensed to practice in the U.S. to join a team working in support of a Health and Human Services Agency conducting assessments of COVID-19 Uninsured Program (UIP) reimbursements. The Medical Director will provide subject matter expertise with respect to appropriateness of reimbursement claims and adherence to medical necessity policies. This is a remote work, work-from-home position, though candidates are welcome to operate from our corporate office in Arlington VA.

The Medical Director will work with the team lead to guide a small team of analysts assisting the government and health care providers to determine if reimbursement payments were appropriately requested and paid.

Successful candidates will have prior work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines.

Program activities include:

• Determine claimant eligibility.
• Affirm medical necessity.
• Determine compliance with all program terms and conditions.
• Confirm alliance with Medicare reimbursement rates.
• Analyze billing procedures.
• Review Medicare reimbursement claim procedure codes, medical provider taxonomy codes. standard medical diagnostic codes. standard medical procedure codes, and proprietary laboratory analyses codes.
• Complete case packets.

Requirements:

• U.S. Work Authorization (Required)
• Ability to obtain a Public Trust Clearance (Required)

What Working at LC Offers:

We offer unlimited career growth and potential, a competitive compensation package in which you’ll be rewarded based on your performance and recognized for the value you bring to our business. In addition, our LC Total Rewards package includes world-class medical and dental coverage, 401(k) plan with an employer contribution, a minimum of 15 days of vacation plus 10 observed holidays, and a range of programs and benefits designed to support your physical, financial, and social well-being. We also offer:

• Support, coaching and feedback from some of the most engaging colleagues in the industry.
• Opportunities to develop new skills and progress your career.
• Comprehensive Professional Development Program (PDP).
• Unlimited career opportunities.
• The freedom and flexibility to handle your role in a way that’s right for you.

We’re interested in versatile people with the ability to take on new responsibilities and listen to clients to get things done. At LC, we’re after genuinely interesting people with the ability to build relationships, negotiate and think in unique and innovative ways. If you’re a confident leader with a curious mind and the ability to solve complex issues, we are looking for you!

About Us:

We all want to make a difference in the work that we do. At Lynch Consultants, LLC (LC), we know that the work we do impacts the lives of all Americans, from strengthening national security, to easing access to healthcare, to helping children and families succeed and thrive, to supporting veterans.

At LC, we employ a diverse and talented team within a premier Federal consulting firm. We value our work and guide our consultants to chart their own career paths, while developing marketable core competencies through dynamic, innovative engagements that offer ongoing opportunities for growth.

Lynch Consultants, LLC is an equal opportunity employer committed to employing a diverse workforce and sustaining an inclusive culture. We support a drug free workplace. At LC, we value the experience of our U.S. military veterans and encourage all qualified military veterans with security clearances to apply. LC is a veteran and wounded warrior-friendly employer.

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