Hawaii Licensed Medical Director
A company is looking for a Medical Director - Clinical Advocacy and Support. Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan benefits Document clinical review findings in accordance with policies and regulatory requirements Engage with providers in peer-to-peer discussions and collaborate on benefit determinations Required Qualifications M.D. or D.O. with an active unrestricted license to practice medicine Board certification in an ABMS specialty, preferably Internal Medicine 3+ years of clinical practice experience post-residency Sound understanding of Evidence Based Medicine (EBM) Proficient in MS Word, Outlook, and Excel
A company is looking for a Medical Director - Clinical Advocacy and Support.
Key Responsibilities
Conduct coverage reviews and render coverage determinations based on member plan benefits
Document clinical review findings in accordance with policies and regulatory requirements
Engage with providers in peer-to-peer discussions and collaborate on benefit determinations
Required Qualifications
M.D. or D.O. with an active unrestricted license to practice medicine
Board certification in an ABMS specialty, preferably Internal Medicine
3+ years of clinical practice experience post-residency
Sound understanding of Evidence Based Medicine (EBM)
Proficient in MS Word, Outlook, and Excel
