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Surgeon Medical DirectorVirtualVocations • Portland, Oregon, United States
Surgeon Medical Director

Surgeon Medical Director

VirtualVocations • Portland, Oregon, United States
2 days ago
Job type
  • Full-time
Job description
To support clinical operations, the remote Surgeon Medical Director will conduct medical claims reviews, collaborate with providers on benefit determinations, and ensure quality medical care while working in a flexible environment. 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. with an active unrestricted medical license Board certification as a Surgeon 5+ years of clinical practice experience post-residency Sound understanding of Evidence Based Medicine (EBM) Proficient in MS Word, Outlook, and Excel
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Surgeon Medical Director • Portland, Oregon, United States

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