A company is looking for an Appeals and Grievances Medical Director - Cardiology Specialty.Key ResponsibilitiesConduct clinical reviews and adjudications of appeals and grievances for various health plan productsRespond to regulatory inquiries from the Department of Insurance, Department of Managed Healthcare, and CMSCollaborate with medical directors and staff on access, network, and quality issuesRequired QualificationsMD or DO with an active, unrestricted licenseBoard Certified Cardiologist in an ABMS or AOBMS specialty5+ years of clinical practice experience2+ years of Quality Management experienceIntermediate proficiency with managed care