Medical Director - Arizona LicensedVirtualVocations • Astoria, New York, United States
Medical Director - Arizona Licensed
VirtualVocations • Astoria, New York, United States
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A company is looking for a Clinical Review Medical Director - Internist, Surgery or Plastic Surgery - Remote.
Key Responsibilities
Conduct coverage reviews based on individual member plan benefits and national coverage review policies
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
Active unrestricted license to practice medicine
Board Certification in Internal Medicine, Surgery or Plastic Surgery
5+ years of clinical practice experience after completing residency training
Sound understanding of Evidence Based Medicine (EBM)
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Medical Director • Astoria, New York, United States
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