Nevada Licensed Plastic Surgery Physician

Job Summary

A company is looking for a Clinical Review Physician specializing in Plastic Surgery to work remotely.

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
• Communicate and collaborate with network and non-network providers for accurate benefit determinations

Required Qualifications:

• M.D. or D.O
• Board certification in Plastic Surgery
• Active unrestricted license to practice medicine
• 5+ years of clinical practice experience after residency
• Proven understanding of Evidence Based Medicine (EBM)