Gastroenterology Medical Director

Job Summary

A company is looking for a Medical Director, Gastroenterology - Pharmacy - Remote.

Key Responsibilities:

• Review and approve pharmacist denials for outpatient medication requests
• Conduct coverage reviews and render determinations based on individual member plans
• Collaborate with Clinical Coverage Review staff and communicate with providers regarding benefit determinations

Required Qualifications:

• Active, unrestricted physician license
• Current board certification in Gastroenterology
• 5+ years of clinical practice experience in Gastroenterology post-residency
• Experience with electronic clinical systems
• Ability to participate in rotational weekend and holiday call coverage