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Medical Director - MN Licensed
A company is looking for a Medical Director Utilization Management. 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 in peer-to-peer discussions with requesting providers and collaborate with internal partners Required Qualifications M.D. or D.O. degree Board certification in Internal Medicine, Family Medicine, or OBGYN Active unrestricted license to practice medicine Sound understanding of Evidence Based Medicine (EBM) Solid PC skills, specifically using MS Word, Outlook, and Excel
A company is looking for a Medical Director Utilization Management.
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 in peer-to-peer discussions with requesting providers and collaborate with internal partners
Required Qualifications
M.D. or D.O. degree
Board certification in Internal Medicine, Family Medicine, or OBGYN
Active unrestricted license to practice medicine
Sound understanding of Evidence Based Medicine (EBM)
Solid PC skills, specifically using MS Word, Outlook, and Excel
