New York Licensed Medical Director
VirtualVocationsOgden, Utah, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Medical Director - Clinical Advocacy and Support.
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 communicate benefit determinations
Required Qualifications
M.D. or D.O. degree
Active unrestricted license to practice medicine
Board certification approved by the American Board of Medical Specialties (ABMS)
5+ years of clinical practice experience after residency training
Sound understanding of Evidence Based Medicine (EBM)
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Director New New • Ogden, Utah, United States
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