Gastroenterology - Chart Review - Part Time Remote

Hiring Arc; Giugliano in Campania; Remoto; EUR 50.000 - 120.000; Part-time

Descrizione del lavoro

A leading healthcare organization is seeking a Medical Director for a part-time position that allows you to work from home while actively engaging in patient care quality improvement. You will conduct clinical reviews and collaborate with peers, impacting healthcare on a national scale. This role requires an M.D. or D.O. with a strong background in Gastroenterology, focusing on analytical skills and evidence-based practices.

Servizi

Excellent compensation package

Bonus structure

401K with company match

CME reimbursement

Competenze

• Recent practice experience in direct patient care within the past 18 months.
• Minimum of 5 years of clinical experience beyond residency/fellowship.
• Knowledge of state and federal laws; URAC and NCQA standards are a plus.

Mansioni

• Conduct expert medical reviews for requests evaluating medical necessity.
• Review appeals for denied services based on clinical experience.
• Collaborate with Physician Peers for evidence-based decision-making.

Conoscenze

Analytical Skills

Evidence-Based Decision-Making

Formazione

M.D. or D.O. with active U.S. medical license

Board Certification in Gastroenterology

Descrizione del lavoro

Are you looking for a non-clinical opportunity that offers work / life balance while allowing you to stay clinically active?

Join us as a Medical Director to conduct chart and peer reviews from your home office, where you’ll be empowered to make a difference in the lives of patients by improving healthcare quality nationwide.

• This is a Part-Time 25 hours per week position.
• Work from the comfort of your home, Monday to Friday, 9am - 5pm.
• Excellent compensation, bonus, and benefits are provided.
• 100% Work at Home with full-time and part-time opportunities available.

Job Description

• Use your analytical skills to provide timely expert medical reviews for requests evaluating the medical necessity of services that do not meet utilization review criteria.
• Review appeals for denied services based on relevant medical experience and evidence-based guidelines, in accordance with appeal policies.
• Collaborate with over 500 Physician Peers to ensure patients receive proper care through evidence-based decision-making.
• Engage in peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcomes.

About the GI Program

• Stay at the forefront of Gastroenterology by continually learning and applying the latest literature and guidelines.
• Impact patient care on a national scale.
• Join one of the largest Gastroenterology Prior Authorization programs in the country.
• Contribute to clinical change nationwide while supporting patients across all U.S. time zones.
• Enjoy a competitive base salary, benefits, 401K with company match, and CME reimbursement.

Qualifications Required

• M.D. or D.O. with an active, current U.S. medical license and board certification in Gastroenterology (ABMS or AOA).
• Recent practice experience in direct patient care within the past 18 months.
• Minimum of 5 years of clinical experience beyond residency / fellowship.
• Knowledge of applicable state and federal laws; URAC and NCQA standards are a plus.
• Ability to commit to a set weekly schedule (Monday through Friday).
• Must be able to complete 3 weeks of full-time training.

J-18808-Ljbffr