A company is looking for a Medical Director in Sleep Medicine to provide clinical support and oversight for medical benefit management.
Key Responsibilities
Conduct coverage reviews and render determinations based on member plan benefits
Document clinical review findings in compliance with policies and regulations
Engage in peer-to-peer discussions with requesting providers and collaborate with internal partners
Required Qualifications
M.D. or D.O. degree
Board certification in sleep medicine
Active unrestricted medical license
5+ years of clinical practice experience post-residency
Strong understanding of Evidence Based Medicine (EBM)
Sleep Medicine • Cleveland, Ohio, United States