Field Medical Director, Musculoskeletal

Job Summary

A company is looking for a Field Medical Director, Musculoskeletal.

Key Responsibilities

• Serve as the Physician match reviewer for Hip/Knee/Shoulder Surgery cases and other imaging requests
• Discuss determinations with requesting physicians and provide clinical rationale for appeals
• Ensure documentation of communications with medical office staff and assist in research activities related to Utilization Management

Required Qualifications

• MD/DO/MBBS with a minimum of five years of medical practice experience
• Current, unrestricted clinical license in medicine or required specialty
• Active Board Certification in Orthopedic Surgery
• Not under current exclusion or sanction by any state or federal health care program
• No history of major disciplinary or legal action by a state medical board