Medical Lead

Key Role:

Support federal health organizations as a clinical expert and medical advisor for programs related to Medicare, Medicaid, health policy, and health care compliance. Leverage clinical expertise to lead a team of reviewers by providing guidance in questionable claims review situations. Brief and direct reviewers on the correct application of policy during claim adjudication, including through written internal claim review guidelines. Stay current on medical practice and technology changes that could lead to improper billing or program abuse. Interact with medical societies and peer groups. Serve as a key clinical resource in the federal health space as a critical part of a dynamic compliance team. Help Medicare and Medicaid enrollees are receiving timely and comprehensive services.

Basic Qualifications:

• 3+ years of experience practicing medicine as a board-certified physician
• Experience in the health insurance industry, a utilization review firm, or a health care claims processing organization in a role that involved supporting the development of coverage or medical necessity policies and guidelines
• Knowledge of the Medicare program, including the coverage and payment rules
• Doctor of Medicine or Doctor of Osteopathy degree
• Active medical license in at least one state within the U.S.

Additional Qualifications:

• Experience with public relations such as working with physician groups, beneficiary organizations, or congressional offices
• Experience with the federal procurement and proposal process
• Experience participating in clinical workgroups

Compensation

At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your total well-being. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges employees for exceptional performance and superior demonstration of our values. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in Booz Allen’s benefit programs. Individuals that do not meet the threshold are only eligible for select offerings, not inclusive of health benefits. We encourage you to learn more about our total benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.

Salary at Booz Allen is determined by various factors, including but not limited to location, the individual’s particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements. The projected compensation range for this position is $96,600.00 to $220,000.00 (annualized USD). The estimate displayed represents the typical salary range for this position and is just one component of Booz Allen’s total compensation package for employees. This posting will close within 90 days from the Posting Date.

Identity Statement

As part of the application process, you are expected to be on camera during interviews and assessments. We reserve the right to take your picture to verify your identity and prevent fraud.

Work Model
Our people-first culture prioritizes the benefits of flexibility and collaboration, whether that happens in person or remotely.

• If this position is listed as remote or hybrid, you’ll periodically work from a Booz Allen or client site facility.
• If this position is listed as onsite, you’ll work with colleagues and clients in person, as needed for the specific role.

EEO Commitment

We’re an equal employment opportunity/affirmative action employer that empowers our people to fearlessly drive change – no matter their race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law.