A company is looking for a Clinical Review Medical Director - Vascular Surgery - 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
Communicate and collaborate 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 Vascular Surgery
5+ years of clinical practice experience post-residency
Sound understanding of Evidence Based Medicine (EBM)
Proficient in MS Word, Outlook, and Excel
Vascular Surgery • Nashville, Tennessee, United States