A company is looking for a Medical Director of Vascular Surgery to provide physician support and collaborate on clinical operations.
Key Responsibilities : Conduct coverage reviews and render coverage determinations based on member plan benefitsEngage in peer-to-peer discussions with requesting providers as neededCollaborate with network and non-network providers to ensure accurate benefit determinationsRequired Qualifications : M.
D. or D.O. with board certification in Vascular SurgeryActive unrestricted license to practice medicine5+ years of clinical practice experience post-residencySound understanding of Evidence Based Medicine (EBM)Experience in utilization and clinical coverage review preferred
Medical Director Vascular Surgery - Remote
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...
Vascular Surgery - Aortic Center Co-Director -Loyola University Medical Center
Vascular Surgery - Aortic Center Co-Director -Loyola University Medical Center. Division of Vascular Surgery and Endovascular Therapy at Loyola University Medical Center. Bernadette Aulivola, Director of the Division of Vascular Surgery and Endovascular Therapy. Loyola has an established Vascular Su...
Vascular Surgery - Aortic Center Co-Director -Loyola University Medical Center
Vascular Surgery - Aortic Center Co-Director -Loyola University Medical Center. Division of Vascular Surgery and Endovascular Therapy at Loyola University Medical Center. Bernadette Aulivola, Director of the Division of Vascular Surgery and Endovascular Therapy. Loyola has an established Vascular Su...
Medical Director Vascular Surgery - Remote
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...
Medical Director Orthopedic Surgery - Remote Nationwide
Key Responsibilities:Conduct coverage reviews for musculoskeletal and medical/surgical services, including prior authorizations for spine surgeryDocument clinical review findings and outcomes in compliance with policies and regulatory requirementsEngage with providers, coordinate coverage reviews, a...
Medical Director, Orthopedic Surgery - Remote Nationwide
The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situation...
Medical Director Spine Surgery
A company is looking for a Medical Director of Spine Surgery to provide physician support for clinical services operations. Board certification in spine surgery or neurological spine surgeryActive unrestricted license to practice medicine5+ years of clinical practice experience after residency train...
Medical Director Spine Surgery - Remote
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...
Vascular Surgery - Aortic Center Co-Director -Loyola University Medical Center
Division of Vascular Surgery and Endovascular Therapy at Loyola University Medical Center. Bernadette Aulivola, Director of the Division of Vascular Surgery and Endovascular Therapy. Loyola has an established Vascular Surgery fellowship training program with one trainee per year and a Vascular Surge...
Medical Director Spine Surgery - Remote
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...