Medical Director - Surgery - Remote - 2287274

Primary Care Plus; Phoenix (AZ); Remote; USD 238,000 - 358,000; Full time

Job summary

A leading healthcare provider is seeking a Medical Director of Surgery to work remotely from anywhere in the U.S. This role involves conducting clinical reviews, ensuring compliance, and collaborating with healthcare providers. Ideal candidates will have an M.D. or D.O. degree, board certification in Surgery, and extensive clinical experience. The position offers a competitive salary and comprehensive benefits.

Benefits

Comprehensive healthcare

Incentive programs

Stock purchase options

401k contributions

Qualifications

• At least 5 years of clinical practice post-residency.
• Understanding of Evidence-Based Medicine.

Responsibilities

• Conduct coverage reviews based on member benefits and policies.
• Document findings and engage in peer-to-peer discussions.
• Collaborate with providers to ensure accurate benefit determinations.

Skills

Evidence-Based Medicine

Communication

Problem Solving

Data Analysis

Education

M.D. or D.O. degree

Board certification in Surgery

Unrestricted medical license

Tools

MS Word

Outlook

Excel

Job description

Medical Director - Surgery - Remote - 2287274

Join to apply for the Medical Director - Surgery - Remote - 2287274 role at Primary Care Plus.

This role offers the flexibility to work remotely from anywhere within the U.S. and involves providing physician support to Enterprise Clinical Services, focusing on clinical reviews related to benefit coverage and medical necessity.

Key Responsibilities

1. Conduct coverage reviews based on member benefits and policies, and render determinations.
2. Document findings and outcomes in compliance with policies and regulations.
3. Engage in peer-to-peer discussions with requesting providers.
4. Interpret benefit language and policies during clinical reviews.
5. Participate in daily clinical rounds as needed.
6. Collaborate with providers and internal teams to ensure accurate benefit determinations and educate providers on policies.
7. Participate in call coverage rotations.

Qualifications

• M.D. or D.O. degree.
• Board certification in Surgery.
• Unrestricted medical license.
• At least 5 years of clinical practice post-residency.
• Understanding of Evidence-Based Medicine.
• Proficiency in MS Word, Outlook, and Excel.

Preferred Skills

• Board certification in bariatric surgery.
• Experience in utilization review and clinical coverage.
• Data analysis skills.
• Excellent communication and facilitation skills.
• Innovative problem-solving abilities.
• Strong presentation skills for diverse audiences.

Compensation and Benefits

Salary range is $238,000 to $357,500 annually, based on experience and performance. Benefits include comprehensive healthcare, incentive programs, stock purchase options, and 401k contributions.

Application Details

Applications will be accepted for a minimum of 2 business days or until a sufficient candidate pool is reached. The posting may close early due to volume.