Medical Director - California LicensedVirtualVocations • Rochester, New York, United States
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Medical Director - California Licensed
VirtualVocations • Rochester, New York, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Medical Director - Clinical Advocacy and Support.
Key Responsibilities
Conduct coverage reviews and render coverage determinations based on member plan benefits
Document clinical review findings in accordance with policies and regulatory requirements
Engage in peer-to-peer discussions with requesting providers and collaborate with internal partners
Required Qualifications
M.D. or D.O. degree
Active unrestricted license to practice medicine
Board certification in an ABMS specialty preferred
3+ years of clinical practice experience post-residency
Demonstrated understanding of Evidence Based Medicine (EBM)
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Medical Director • Rochester, New York, United States
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