Medical Director DME

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)