Associate Medical Director

RELI GROUP INC • Woodlawn, MD

1d • $130 - $145

About The Position

At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs.

Requirements

• Extensive knowledge of Medicare and Medicaid payment, coverage, and coding policies
• Doctor of Medicine or Doctor of Osteopathy Degree
• Current License to practice medicine
• Three years’ experience practicing medicine as a board-certified physician with no previous sanctioning or exclusion from the Medicare program
• Experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved compliance responsibilities
• Experience in interpreting HCPCS/CPT codes and coding conventions
• Advanced knowledge of health care and health care research
• Ability to collaborate with all levels within the contract

Nice To Haves

• Board certified doctor or physician (preferred)

Responsibilities

• Participate in the NCCI Procedure to Procedure and Medically Unlike Edit work group meetings to provide clinical input and guidance
• Serve as a clinical subject matter expert to assist in responses to inquiries received regarding the NCCI edits and Education material
• Perform research and provide input to updates needed in the Coding Policy Manual, Medicare and Medicaid NCCI Manuals
• Attend and participate in contractor meetings
• Must have strong written and verbal communication skills
• Conduct research to provide input in the work group meetings
• Provide input and support in the contractor meetings
• Prepare research documents to support the NCCI edits and educational materials
• Provide clinical and coding training to contract staff as needed

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree