Orthopedic Surgery Medical Director

A company is looking for a Medical Director - Total Joints or Spine Orthopedic Surgery - Remote.

Key Responsibilities

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

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

Communicate and collaborate with network and non-network providers for accurate benefit determinations

Required Qualifications

M.D. or D.O

Board certification in Orthopedic Surgery

Active unrestricted license to practice medicine

5+ years of clinical practice experience after completing residency training

Sound understanding of Evidence Based Medicine (EBM)