Cardiology Medical Director

Job Summary

A company is looking for a Clinical Review Medical Director - Cardiology - Remote.

Key Responsibilities

• Conduct coverage reviews based on member plan benefits and render coverage determinations
• Document clinical review findings and engage in peer-to-peer discussions with providers
• 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 Cardiology
• 5+ years of clinical practice experience after residency training
• Experience with endovascular procedures in adults
• Sound understanding of Evidence Based Medicine (EBM)