Medical Director - Arizona Licensed

A company is looking for a Clinical Advocacy and Support Medical Director, Internist, Surgery or Plastic Surgery Preferred - 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. with an active unrestricted license to practice medicine

Board certification approved by the American Board of Medical Specialties (ABMS)

5+ years of clinical practice experience after completing residency training

Sound understanding of Evidence Based Medicine (EBM)

Proven solid PC skills, specifically using MS Word, Outlook, and Excel