Sleep Medicine Medical Director

Job Summary

To support a growing clinical operations team, the remote Sleep Medicine Medical Director will conduct coverage reviews, document clinical findings, and collaborate with providers to ensure quality medical care and appropriate benefit determinations for members.

Key responsibilities:

• Conduct coverage reviews based on individual member plan benefits and national policies, rendering coverage determinations
• Document clinical review findings and engage in peer-to-peer discussions with requesting providers 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 Sleep Medicine
• Active unrestricted license to practice medicine
• 5+ years of clinical practice experience post-residency
• Proven understanding of Evidence Based Medicine (EBM)