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)
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)