Field Medical Director, Radiology

📋 Description

• Act as the Physician match reviewer for Imaging cases.

• Engage in discussions regarding determinations through peer-to-peer phone calls with requesting physicians or ordering providers.

• Apply medical and clinical review guidelines and parameters to ensure uniformity in the MD review process.

• Guarantee that all communications with medical office staff and/or MD providers are documented promptly and accurately.

• May support the Senior Medical Director with research activities or inquiries related to the Utilization Management process.

• Take part in ongoing training as part of the inter-rater reliability process.

⛳️ Requirements

• MD/DO/MBBS degree.

• At least five (5) years of experience in the field of Medicine following residency.

• Preferred active clinical practice within the past two years.

• Must hold a current, unrestricted clinical license in the respective home state or required specialty.

• Active Board Certification from an accredited organization.

• Possess strong clinical, management, communication, and organizational abilities.

• Must be energetic and inquisitive with a dedication to quality and value in healthcare.

• Proficient in computer skills.

• Not currently excluded or sanctioned by any state or federal healthcare program, including Medicare or Medicaid.

• No history of significant disciplinary or legal actions taken by a state medical board.

🏝️ Benefits

• Health insurance benefits.

• Work/life balance.

• Flexible work arrangements.

• Autonomy.