Remote Appeals Md Cardiologist 3093010 I.Html
Job Description
To support the clinical review process, the remote Appeals M.D. Cardiologist will perform case reviews for appeals and grievances related to various health plans while enjoying a flexible work environment.
##### Key responsibilities
Conduct individual case reviews for appeals and grievances concerning medical services and benefit coverage
Engage with medical directors to discuss appeals decision rationales and benefit interpretations
Participate in team meetings focused on communication, process improvement, and clinical input for organizational projects
##### Required qualifications
MD or DO with an active, unrestricted license
Board Certified in an ABMS or AOBMS specialty (excluding Pediatrics)
5+ years of clinical practice experience
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