MD or DO
Active unrestricted medical license
Board Certified
Medical Director, Associate Medical Director, Physician Advisor, or Physician Reviewer experience preferred
Managed Care, Health Plan, Medicare Advantage, Medicaid, Commercial Insurance, VA, DoD, TRICARE, or Utilization Management experience
Medical Necessity Review experience
Appeals Review experience
Peer-to-Peer Review experience
Strong clinical documentation review experience
Experience making coverage determinations based upon evidence-based guidelines
Strong communication and physician leadership skills
Highly preferred:
Orthopedic Surgery
General Surgery
OB/GYN
PM&R
Salary/Rate Range: $140.00 - $145.00 / hour
Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.
Medical Director - REMOTE • Vancouver, BC
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