Medical Director, UM - Orthopedic Surgery

A company is looking for a Medical Director, UM - Orthopedic Surgery, Spine Surgery and Therapy Reviews. Key Responsibilities Conduct coverage reviews for musculoskeletal surgical procedures and document findings in compliance with regulations Coordinate with clinical staff on coverage reviews and engage in peer-to-peer discussions with providers Participate in clinical conferences and ensure accurate benefit determinations through collaboration with providers Required Qualifications Current, active, and unrestricted medical license Board Certification in Orthopedic Surgery, Spine Surgery, or PM&R 5+ years of clinical practice experience post-residency Sound understanding of Evidence Based Medicine (EBM) Proficient with MS Office applications

Feb 21, 2025 - 01:34
 0
Medical Director, UM - Orthopedic Surgery
A company is looking for a Medical Director, UM - Orthopedic Surgery, Spine Surgery and Therapy Reviews. Key Responsibilities Conduct coverage reviews for musculoskeletal surgical procedures and document findings in compliance with regulations Coordinate with clinical staff on coverage reviews and engage in peer-to-peer discussions with providers Participate in clinical conferences and ensure accurate benefit determinations through collaboration with providers Required Qualifications Current, active, and unrestricted medical license Board Certification in Orthopedic Surgery, Spine Surgery, or PM&R 5+ years of clinical practice experience post-residency Sound understanding of Evidence Based Medicine (EBM) Proficient with MS Office applications