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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
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