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Associate Medical Director - Office of Clinical Affairs
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$200
Full-time
- The AMD will participate in the development and evaluation of clinical standards and guidelines for MassHealth medical services, conduct prior authorization reviews and serve as a clinical resource for OCA and EOHHS programs as well as MassHealth providers.
- Participate/lead in the development of policies, clinical standards, guidelines, criteria, and algorithms for use in MassHealth medical services, ensuring adherence to all applicable federal and state laws and regulations.
- Provide updates and consult with OCA and MassHealth managers on new technologies, treatment methodologies and policies.
- Participate in communications with MassHealth medical providers, conduct peer-to-peer discussions, as applicable, and educate physicians and others on current policy and prior authorization issues.
- Participate in OCA activities to monitor, report upon, and make recommendations regarding quality, clinical effectiveness and cost effectiveness of MassHealth medical services and programs.
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