Georgia Licensed Medical Director

Job Summary

A company is looking for a Medical Director specializing in General Surgery to work remotely.

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 internal partners

Required Qualifications

• M.D. or D.O. degree
• Board certification in General Surgery
• Active unrestricted medical license
• 5+ years of clinical practice experience post-residency
• Sound understanding of Evidence Based Medicine (EBM)