A company is looking for a Medical Director - Licensed and Residency in Florida - Remote.
Key Responsibilities
Conduct coverage reviews and render coverage determinations based on member plan benefits
Document clinical review findings in accordance with policies and regulatory requirements
Engage in peer-to-peer discussions with requesting providers and collaborate with network and non-network providers
Required Qualifications
Doctor of Medicine or Osteopathy
Current active, unrestricted license to practice as a physician in Florida
Current board certification in Internal Medicine or Family Practice
5+ years of clinical practice experience post-residency
Substantial experience with electronic clinical systems
Medical Director • Plano, Texas, United States