Medical Director - REMOTE

MD or DO

Active unrestricted medical license

Board Certified

Medical Director, Associate Medical Director, Physician Advisor, or Physician Reviewer experience preferred

Managed Care, Health Plan, Medicare Advantage, Medicaid, Commercial Insurance, VA, DoD, TRICARE, or Utilization Management experience

Medical Necessity Review experience

Appeals Review experience

Peer-to-Peer Review experience

Strong clinical documentation review experience

Experience making coverage determinations based upon evidence-based guidelines

Strong communication and physician leadership skills

Orthopedic Surgery

General Surgery

OB/GYN

PM&R