Medical Director

The Medical Director will provide clinical oversight and guidance for the administration of Non-Emergency Medical Transportation (NEMT) services under the New Jersey Medicaid program.

Requirements

• Ensure NEMT services meet medical necessity and coverage requirements under NJ Medicaid guidelines
• Review and approve medical policies related to transportation eligibility and utilization
• Develop and maintain coverage and medical necessity policies in alignment with state and federal regulations
• Collaborate with internal teams to implement best practices for claims processing and utilization review
• Act as a primary clinical liaison with physician groups, beneficiary organizations, and regulatory agencies
• Provide public relations support and represent the organization in meetings with healthcare providers and community partners
• Ensure adherence to NJ Medicaid coverage and payment rules
• Monitor and evaluate clinical processes for efficiency and compliance

Benefits

• Health and Life Insurance Plans
• Dental and Vision Plans
• 401(k) with a company match
• Paid Time Off and Holiday Pay
• Maternity/Paternity Leave
• Casual Dress Environment
• Tuition Reimbursement
• MTM Perks Discount Program
• Leadership Mentoring Opportunities