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
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