Clinical Coverage Review Medical Director

VirtualVocations
Livonia, Michigan, United States
Full-time
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A company is looking for a Clinical Coverage Review Medical Director to support pharmacy operations and clinical review processes.

Key ResponsibilitiesReview and approve proposed pharmacist denials for outpatient medication requestsConduct coverage reviews and render determinations based on medical necessity and policy guidelinesCollaborate with clinical staff and providers to ensure accurate and timely benefit determinationsRequired QualificationsActive, unrestricted physician licenseCurrent board certification in an ABMS or AOA specialty5+ years of clinical practice experience post-residencyExperience with electronic clinical systemsAbility to participate in rotational call coverage

1 day ago
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