Hawaii Licensed Medical Director

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 in accordance with policies and regulatory requirements
• Engage with providers in peer-to-peer discussions and collaborate on benefit determinations

Required Qualifications

• M.D. or D.O. with an active unrestricted license to practice medicine
• Board certification in an ABMS specialty, preferably Internal Medicine
• 3+ years of clinical practice experience post-residency
• Sound understanding of Evidence Based Medicine (EBM)
• Proficient in MS Word, Outlook, and Excel