State Licensed Physician Advisor

Job Summary

A company is looking for a Physician Advisor.

Key Responsibilities

• Review payor peer-to-peer cases and evaluate documentation for authorization requests
• Engage with payor medical directors to discuss authorization status based on documentation
• Provide written analysis of cases and serve as a clinical resource for medical and case management staff

Required Qualifications

• Active, unrestricted MD or DO medical licensure
• 3+ years of clinical experience post-residency completion
• Strong clinical knowledge across multiple clinical areas
• Proficiency in basic computer skills
• Ability to work independently in a fast-paced environment