Job Summary
A company that provides medical benefits management solutions is searching for a person to fill their position for a Remote Orthopedic Surgery Associate Medical Director.
Core Responsibilities Include:
- Providing timely expert medical review for requests to evaluate the medical necessity of services
- Reviewing appeals for denied services
- Providing timely peer-to-peer discussions with referring physicians
Skills and Requirements Include:
- M.D. or D.O. with a current, active, U.S. state medical license and board certified in Orthopedic Surgery
- Recent practice experience in direct patient care (within the past 18 months)
- Familiarity with automated processes and computer applications and systems