Medical Director - TX KY NC

Company: VirtualVocations
Location: Grand Prairie
Posted on: November 8, 2024

Job Description:

A company is looking for a Medical Director to provide physician support for clinical operations and benefit coverage determinations.

Key Responsibilities

Conduct coverage reviews and render coverage determinations based on member plan benefits
Engage in peer-to-peer discussions with requesting providers as needed
Collaborate with network and non-network providers to ensure timely benefit determinations

Required Qualifications

M.D. or D.O. degree
Board certification approved by the American Board of Medical Specialties (ABMS)
Active unrestricted medical license in Texas, Kentucky, or North Carolina
5+ years of clinical practice experience post-residency
Sound understanding of Evidence Based Medicine (EBM)

Keywords: VirtualVocations, Allen , Medical Director - TX KY NC, Executive , Grand Prairie, Texas

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