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A leading healthcare organization is seeking a Medical Director specializing in Orthopedic Surgery. This remote role involves clinical support, utilization management, and collaboration with providers to ensure quality care. The ideal candidate will have an M.D. or D.O. and significant clinical experience, alongside strong communication and analytical skills. The position emphasizes diversity and health equity while offering a competitive salary and comprehensive benefits.
This role involves providing clinical support within Enterprise Clinical Services, focusing on utilization management, benefit coverage determinations, and collaborating with healthcare providers to ensure cost-effective, quality care. The Medical Director will conduct coverage reviews, document findings, engage with providers, and participate in clinical and operational processes to improve health outcomes. Requirements include an M.D. or D.O., board certification in Orthopedic Surgery, active medical license, and at least 5 years of clinical experience. Preferred skills include utilization review experience, strong communication, data analysis, and problem-solving abilities. The position offers remote work flexibility across the U.S., a competitive salary ($238,000 - $357,500), and comprehensive benefits. The role emphasizes diversity, inclusion, and health equity.