A company is looking for a Medical Director DME - Remote.
Key Responsibilities
Conduct coverage reviews based on member plan benefits and render coverage determinations
Document clinical review findings and engage in peer-to-peer discussions with providers
Collaborate with network and non-network providers to ensure accurate and timely 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)
Medical Director • Bronx, New York, United States