Medical Director DME

Job Summary

A company is looking for a Medical Director DME - Remote.

Key Responsibilities

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

Required Qualifications

• M.D or D.O
• Active unrestricted license to practice medicine
• Board certification in Physical Medicine & Rehabilitation, Internal Medicine, or Family Medicine
• 5+ years of clinical practice experience after completing residency training
• Sound understanding of Evidence Based Medicine (EBM)