Universal Healthcare currently seeks a Medical Advisor. The Medical Advisor plays a critical role in ensuring the PBM or Clearing House setting. They provide medical expertise, review clinical policies and guidelines Evaluate medical claims, escalations, pre-authorization requests, and appeals for medical necessity decisions are based on best practice. Monitor medical literature and use evidence-based principles to Provide input and support to the GEMS SMC Expert Medical Advisory Board. Establish expert clinical committees
Universal Healthcare currently seeks a Medical Advisor. The Medical Advisor plays a critical role in ensuring the PBM or Clearing House setting. They provide medical expertise, review clinical policies and guidelines Evaluate medical claims, escalations, pre-authorization requests, and appeals for medical necessity decisions are based on best practice. Monitor medical literature and use evidence-based principles to Provide input and support to the GEMS SMC Expert Medical Advisory Board. Establish expert clinical committees
establishing trust-based relationships with clients (Doctors and private hospitals). The role requires strategic
establishing trust-based relationships with clients (Doctors and private hospitals). The role requires strategic
least 2 years experience in operations within a medical corporate environment Clinical experience with
least 2 years experience in operations within a medical corporate environment Clinical experience with