Medical Director - Sleep Medicine

Job Summary

A company is looking for a Medical Director in Sleep Medicine to provide clinical support and oversight for medical benefit management.

Key Responsibilities

• Conduct coverage reviews and render determinations based on member plan benefits
• Document clinical review findings in compliance with policies and regulations
• Engage in peer-to-peer discussions with requesting providers and collaborate with internal partners

Required Qualifications

• M.D. or D.O. degree
• Board certification in sleep medicine
• Active unrestricted medical license
• 5+ years of clinical practice experience post-residency
• Strong understanding of Evidence Based Medicine (EBM)