A company is looking for a Medical Director Plastic Surgery – Remote.
Key Responsibilities:
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies
Engage with requesting providers in peer-to-peer discussions as needed
Communicate and collaborate with network and non-network providers for accurate and timely benefit determinations
Required Qualifications:
M.D or D.O. degree
Board certification in Otolaryngology, Dermatology, or Plastic Surgery
Active unrestricted license to practice medicine
5+ years of clinical practice experience after completing residency training
Sound understanding of Evidence Based Medicine (EBM)
