Position Details
About this role
This role provides clinical oversight and regulatory compliance for Medicare chronic care management programs, ensuring care plans meet standards and supporting quality assurance.
Key Responsibilities
- Provide supervision for CCM services
- Review and approve care plans
- Ensure compliance with Medicare billing
- Support audit readiness
- Maintain documentation standards
Technical Overview
Focuses on healthcare regulations, Medicare billing, care plan validation, and clinical oversight without primary patient care responsibilities.
Ideal Candidate
The ideal candidate is an experienced physician with an active MD or DO license, specializing in healthcare regulation and care plan oversight. They possess strong knowledge of Medicare requirements and quality assurance processes, providing clinical governance for chronic care programs.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Certifications
Required
Industry & Role
Keywords for Your Resume
Deal Breakers
Inactive or missing MD/DO license, Lack of Medicare or healthcare regulatory experience
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