Otolaryngology Medical Director

Job Summary

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

Key Responsibilities

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

Required Qualifications

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