Medical Director DME - AZ Licensed

A company is looking for a Medical Director DME - Remote.

Key Responsibilities :

Conduct coverage reviews and render coverage determinations based on member plan benefits

Document clinical review findings and engage in peer-to-peer discussions with providers

Collaborate with internal partners and communicate with network and non-network providers for accurate benefit determinations

Required Qualifications :

M.D. or D.O. with an active unrestricted license to practice medicine

Board certification in Physical Medicine & Rehabilitation, Internal Medicine, or Family Medicine

5+ years of clinical practice experience post-residency training

Sound understanding of Evidence Based Medicine (EBM)

Proficient in MS Word, Outlook, and Excel