Physician Reviewer - Utilization Management

Added
3 minutes ago
Type
Full time
Salary
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Related skills

documentation medical_licensure imlc

πŸ“‹ Description

  • Provide timely medical reviews meeting quality parameters
  • Make clinical determinations based on evidence-based criteria and guidelines
  • Document communication and decisions clearly in Oscar workflow tools
  • Use templates for documenting decisions during case review
  • Meet turnaround times for clinical reviews
  • Conduct peer-to-peer discussions to clarify information and explain review outcomes

🎯 Requirements

  • Board certification as an MD or DO
  • Licensed in FL, NC, or AZ and active IMLC
  • 6+ years of clinical practice

🎁 Benefits

  • Medical, dental, and vision benefits
  • 401(k) plan participation
  • 11 paid holidays and paid sick time
  • Paid parental leave
  • Life and disability insurance
  • Unlimited vacation and annual performance bonuses
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