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
Comments