Tennessee Licensed Medical Director

A company is looking for a Medical Director - Cardiology - Remote. Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan benefits Document clinical review findings and engage in peer-to-peer discussions with requesting providers Collaborate with network and non-network providers to ensure accurate benefit determinations Required Qualifications M.D. or D.O. with an active unrestricted medical license in Tennessee or Nebraska Board certification in Internal Medicine with subspecialty training in Cardiology 5+ years of clinical practice experience post-residency Sound understanding of Evidence Based Medicine (EBM) Willingness to obtain additional licenses as needed

Apr 1, 2025 - 15:43

A company is looking for a Medical Director - Cardiology - Remote. Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan benefits Document clinical review findings and engage in peer-to-peer discussions with requesting providers Collaborate with network and non-network providers to ensure accurate benefit determinations Required Qualifications M.D. or D.O. with an active unrestricted medical license in Tennessee or Nebraska Board certification in Internal Medicine with subspecialty training in Cardiology 5+ years of clinical practice experience post-residency Sound understanding of Evidence Based Medicine (EBM) Willingness to obtain additional licenses as needed