Medical Director - Arizona Licensed

Job Summary

A company is looking for a Medical Director - Clinical Advocacy and Support - Remote.

Key Responsibilities

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

Required Qualifications

• M.D. or D.O. degree
• Active unrestricted license to practice medicine
• Board certified in Family Medicine or Internal Medicine
• 5+ years of clinical practice experience after residency
• Sound understanding of Evidence Based Medicine (EBM)