State Licensed Cardiology Director

Job Summary

A company is looking for a Field Medical Director, Cardiology.

Key Responsibilities

• Serve as the specialty match reviewer for Cardiology cases and provide clinical rationale for appeals
• Engage in peer-to-peer discussions with requesting physicians regarding determinations within regulatory timeframes
• Ensure compliance with medical review guidelines and participate in ongoing training related to Utilization Management

Required Qualifications

• MD/DO/MBBS Degree
• Current, unrestricted clinical license in medicine or required specialty
• Active Board Certification in Cardiology, Vascular Surgery, or Adult Congenital Heart Disease
• Minimum of five (5) years' experience in the practice of Cardiology is preferred
• No history of major disciplinary or legal action by a state medical board