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Utilization Management Physician Reviewer

8/15/2025

No location specified

Job Summary

A company is looking for a Utilization Management Physician Reviewer.

Key Responsibilities
  • Perform utilization management reviews efficiently and accurately
  • Review appeals or complaints related to medical review decisions
  • Collaborate with the Medical Director and Senior Management to coordinate service delivery


Required Qualifications
  • MD, DO, or DPM degree
  • Active board certification in an ABMS or AOA-recognized specialty
  • Active, unrestricted medical licensure in the United States
  • 5+ years of clinical practice experience, including residency
  • Ability to work within the United States

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