Neurology Medical Director

Job Summary

A company is looking for a Clinical Review Medical Director - Neurology - Remote.

Key Responsibilities

• Conduct coverage reviews and render coverage determinations based on member plan benefits
• 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
• Active unrestricted license to practice medicine
• Board Certification in Neurology
• 5+ years of clinical practice experience after completing residency training
• Sound understanding of Evidence Based Medicine (EBM)