Medical Director - AZ Licensed

A company is looking for a Medical Director - Clinical Advocacy and Support. Key Responsibilities Conduct coverage reviews based on individual member plan benefits and render coverage determinations Document clinical review findings and engage with requesting providers in peer-to-peer discussions Communicate and collaborate with network and non-network providers to ensure accurate benefit determinations Required Qualifications M.D. or D.O Board certification in an ABMS specialty (e.g., General Surgery, Orthopedic Surgery, etc.) Active unrestricted license to practice medicine 5+ years of clinical practice experience after residency training Sound understanding of Evidence Based Medicine (EBM)

Mar 6, 2025 - 19:15

A company is looking for a Medical Director - Clinical Advocacy and Support. Key Responsibilities Conduct coverage reviews based on individual member plan benefits and render coverage determinations Document clinical review findings and engage with requesting providers in peer-to-peer discussions Communicate and collaborate with network and non-network providers to ensure accurate benefit determinations Required Qualifications M.D. or D.O Board certification in an ABMS specialty (e.g., General Surgery, Orthopedic Surgery, etc.) Active unrestricted license to practice medicine 5+ years of clinical practice experience after residency training Sound understanding of Evidence Based Medicine (EBM)