Medical Director DME - AZ Licensed

UnitedHealth Group, Inc.; United States; Remote; USD 180,000 - 250,000; Full time

Job summary

A healthcare company is seeking a Medical Director DME to work remotely. The role involves conducting coverage reviews, documenting clinical findings, and collaborating with providers. Candidates must hold an M.D. or D.O. degree with board certification and have over 5 years of clinical practice experience post-residency. Strong understanding of Evidence Based Medicine and proficiency in MS Office applications are required.

Qualifications

• 5+ years of clinical practice experience post-residency training.
• Sound understanding of Evidence Based Medicine (EBM).

Responsibilities

• Conduct coverage reviews and render coverage determinations.
• Document clinical review findings and engage in peer-to-peer discussions.
• Collaborate and communicate with providers for accurate benefit determinations.

Skills

Evidence Based Medicine (EBM)

Communication skills

Clinical decision-making

Collaboration

Education

M.D. or D.O. with active unrestricted license

Board certification in relevant specialties

Tools

MS Word

MS Outlook

MS Excel

Job description

A company is looking for a Medical Director DME - Remote.

Key Responsibilities:

• Conduct coverage reviews and render coverage determinations based on member plan benefits
• Document clinical review findings and engage in peer-to-peer discussions with providers
• Collaborate with internal partners and communicate with network and non-network providers for accurate benefit determinations

Required Qualifications:

• M.D. or D.O. with an active unrestricted license to practice medicine
• Board certification in Physical Medicine & Rehabilitation, Internal Medicine, or Family Medicine
• 5+ years of clinical practice experience post-residency training
• Sound understanding of Evidence Based Medicine (EBM)
• Proficient in MS Word, Outlook, and Excel