Orthopedic Surgery Medical Director

Job Summary

A company is looking for a UM Medical Director - Orthopedic Spine, Neurosurgery or Spine Surgery - Remote.

Key Responsibilities

• Conduct coverage reviews and render coverage determinations for musculoskeletal and surgical services
• Document clinical review findings and ensure compliance with regulatory standards
• Coordinate with clinical staff and engage in peer-to-peer discussions with requesting providers

Required Qualifications

• Current, active, and unrestricted medical license
• Current Board Certification in Orthopedic Surgery or Neurosurgery
• 5+ years of clinical experience post-residency in Orthopedic Surgery or Neurosurgery
• Sound understanding of Evidence Based Medicine (EBM)
• Proficient with MS Office applications