State Licensed Physician Advisor

Job Summary

A company is looking for a Physician Advisor.

Key Responsibilities

• Review payor peer-to-peer cases to evaluate documentation for authorization requests
• Engage with payor medical directors to discuss authorization statuses and provide written case analyses
• Serve as a clinical resource for medical and case management staff regarding documentation and utilization issues

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
• Able to work independently in a fast-paced environment