Florida Licensed Medical Director

Job Summary

A company is looking for a Medical Director - Licensed and Residency in Florida - Remote.

Key Responsibilities

• Conduct coverage reviews and render coverage determinations based on member plan benefits
• Document clinical review findings in accordance with policies and regulatory requirements
• Engage in peer-to-peer discussions with requesting providers and collaborate with network and non-network providers

Required Qualifications

• Doctor of Medicine or Osteopathy
• Current active, unrestricted license to practice as a physician in Florida
• Current board certification in Internal Medicine or Family Practice
• 5+ years of clinical practice experience post-residency
• Substantial experience with electronic clinical systems