Remote Plastic Surgery Appeals Medical Director in Miami

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Wed, Apr 28, 2021

This job expires in: 14 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company has an open position for a Remote Plastic Surgery Appeals Medical Director in Miami.

Individual must be able to fulfill the following responsibilities:

  • Provide guidance for clinical operational aspects of a program
  • Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations
  • Support clinicians to ensure timely and consistent responses to members and providers

Applicants must meet the following qualifications:

  • M.D. or D.O
  • Must possess an active unrestricted medical license to practice medicine where applicable to duties being performed
  • Board certification in Plastic Surgery approved by the American Board of Medical Specialties required
  • 10 years of clinical experience or any combination of education and experience, which would provide an equivalent background

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