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Medical Director Clinical Advocacy and Support - Texas

Company: VirtualVocations
Location: Racine
Posted on: June 1, 2024

Job Description:

A company is looking for a Medical Director, Clinical Advocacy and Support - Remote position.

Key Responsibilities:

Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies
Document clinical review findings, actions, and outcomes in accordance with policies and regulatory requirements
Engage with requesting providers in peer-to-peer discussions as needed

Required Qualifications:

M.D, D.O., or M.B.B.S degree
Board certification approved by the American Board of Medical Specialties (ABMS)
Active unrestricted license to practice medicine in specific states
5+ years of clinical practice experience after completing residency training
Solid understanding of Evidence Based Medicine (EBM)

Keywords: VirtualVocations, Racine , Medical Director Clinical Advocacy and Support - Texas, Healthcare , Racine, Wisconsin

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