Medical Director - Arizona Licensed

Job Summary

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 and engage in peer-to-peer discussions with providers
• Collaborate with network and non-network providers to ensure accurate benefit determinations

Required Qualifications

• M.D. or D.O. with an active unrestricted license to practice medicine
• Board certification in an ABMS specialty preferred (e.g., Internal Medicine, Family Medicine)
• 3+ years of clinical practice experience post-residency
• Demonstrated understanding of Evidence Based Medicine (EBM)
• Proficient in MS Word, Outlook, and Excel