Medical Director - MN Licensed

Company: VirtualVocations
Location: Kenosha
Posted on: April 9, 2025

Job Description:

A company is looking for a Medical Director Utilization Management.
Key Responsibilities

Conduct coverage reviews and render coverage determinations based on member plan benefits
Document clinical review findings in accordance with policies and regulatory requirements
Engage in peer-to-peer discussions with requesting providers and collaborate with internal partners

Required Qualifications

M.D. or D.O. degree
Board certification in Internal Medicine, Family Medicine, or OBGYN
Active unrestricted license to practice medicine
Sound understanding of Evidence Based Medicine (EBM)
Solid PC skills, specifically using MS Word, Outlook, and Excel

Keywords: VirtualVocations, Kenosha , Medical Director - MN Licensed, Executive , Kenosha, Wisconsin

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