Board Certified Forensic Pathology Advisor

Job Summary

A company is looking for a Board Certified Forensic Pathology Physician Advisor for Disability Peer Review.

Key Responsibilities

• Review and analyze medical records related to forensic pathology for disability claims
• Provide expert opinions on medical necessity and ensure determinations are well-supported by documentation
• Complete reviews by specified deadlines and maintain communication for follow-up as needed

Required Qualifications

• Board certification in Forensic Pathology
• Active medical license required
• Experience in medical necessity and utilization review/management
• Participation in orientation and training programs as mandated
• Ability to address quality assurance issues and engage in audits or additional reviews