Indiana Licensed Ophthalmology Reviewer

Job Summary

A company is looking for a Remote Ophthalmology Utilization Review Contractor (1099).

Key Responsibilities

• Review Prior Authorizations for treatment using accepted medical and healthcare plan guidelines
• Provide expert, unbiased assessments ensuring compliance with ERISA/DOL and state regulations
• Work flexibly, completing cases that typically take 30-60 minutes, for a total of 1-2 hours per week

Required Qualifications

• Must be an MD or DO
• Must be Board Certified in Ophthalmology
• Must have 5 years of patient care experience, including residency
• Must have an unrestricted state medical license in Indiana or an active IMLC license
• Must be a US Citizen or hold a Green Card