Orthopedic Surgery Medical Director
A company is looking for a Medical Director - Orthopedic Surgery - Remote. 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 for accurate benefit determinations Required Qualifications M.D. or D.O Board certification in Orthopedic Surgery Active unrestricted license to practice medicine 5+ years of clinical practice experience after completing residency training Sound understanding of Evidence Based Medicine (EBM)
