Medical Director - MN 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 with providers in peer-to-peer discussions
• Communicate and collaborate with network and non-network providers for accurate benefit determinations

Required Qualifications:

• M.D. or D.O. with an active unrestricted license to practice medicine
• Board certification in an ABMS specialty
• 5+ years of clinical practice experience post-residency
• Sound understanding of Evidence Based Medicine (EBM)
• Ability to participate in call coverage rotation