Medical Director - MN Licensed

Job Summary

To support clinical operations, the remote Medical Director - MN Licensed will conduct coverage reviews, document clinical findings, and collaborate with providers to ensure quality medical care while working full-time in a salaried position.

Key responsibilities

• Conduct coverage reviews based on individual member plan benefits and render coverage determinations
• Document clinical review findings in accordance with policies and regulatory requirements
• Engage in peer-to-peer discussions with requesting providers as needed

Required qualifications

• M.D. or D.O. with an active unrestricted license to practice medicine
• Board Certified through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), preferably in Internal or Family Medicine
• 5+ years of clinical practice experience after completing residency training
• Proven understanding of Evidence Based Medicine (EBM)
• Ability to participate in rotational holiday and call coverage