Orthopedic Surgery Medical Director

Job Summary

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

Key Responsibilities

• Conduct coverage reviews and render coverage determinations based on member plan benefits
• Document clinical review findings in accordance with regulatory and accreditation requirements
• Engage in peer-to-peer discussions with requesting providers and collaborate with internal partners 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 post-residency
• Sound understanding of Evidence Based Medicine (EBM)