Utilization Management Physician Reviewer

Job Summary

A company is looking for a Utilization Management Physician Reviewer.

Key Responsibilities

• Perform utilization management reviews efficiently and accurately
• Review appeals and conduct thorough assessments of medical records and treatment plans
• Collaborate with the Medical Director and stakeholders to ensure effective 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