Medical Director

The Contractor Medical Director (CMD) is responsible for researching and reviewing clinical evidence in support of developing Local Coverage Determinations (LCDs), conducting medical review (MR) activities, providing clinical program outreach activities, taking party or participant status in Administrative Law Judge (ALJ) appeals hearings, and performing appeals. The role collaborates with CMS and other Medicare Administrative Contractors (MAC) and interacts with medical societies and peer groups to share information, provide education and guidance. The CMD will collaborate with multi-disciplinary teams.