Physician Medical Director

Virtual Vocations Inc

Working remotely, the part-time Physician Medical Director will manage clinical reviews, collaborate with providers on benefit determinations, and ensure quality medical care for members across various lines of business. Key responsibilities Conduct coverage reviews based on individual member plan benefits and render coverage determinations Document clinical review findings and engage in peer-to-peer discussions with requesting providers Communicate and collaborate with network and non-network providers to ensure accurate benefit determinations Required qualifications M.D. or D.O Active unrestricted license to practice medicine Board certification in Physical Medicine & Rehabilitation, Internal Medicine, or Family Medicine 5+ years of clinical practice experience after completing residency training Sound understanding of Evidence Based Medicine (EBM)

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Vacancy posted 2 days ago

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