Massachusetts Licensed Medical Director

Job Summary

A company is looking for a UM Medical Director specializing in Family Medicine or Internal Medicine for a remote position.

Key Responsibilities

• Conduct coverage reviews and render coverage determinations based on member plan benefits
• Document clinical review findings and engage with providers in peer-to-peer discussions as needed
• Communicate and collaborate with network and non-network providers to ensure accurate benefit determinations

Required Qualifications

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