Gastroenterology - Chart Review - Part Time Remote

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, making a difference in patient care nationwide.

• This is a Part-Time position, 25 hours a week
• Work from home, Monday to Friday, 9 am - 5 pm
• Excellent compensation, bonus, and benefits
• 100% Work at Home with full-time and part-time options

Job Description

• Utilize 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 medical experience and evidence-based guidelines, following appeal policies.
• Collaborate with over 500 Physician Peers to ensure proper patient care through evidence-based decision-making.
• Engage in peer-to-peer discussions with referring physicians to clarify clinical information and review outcomes.

About the GI Program

• Stay current with the latest literature and guidelines in Gastroenterology.
• Impact patient care on a national scale.
• Join one of the largest Gastroenterology Prior Authorization programs in the country.
• Support patients across all U.S. time zones.
• Competitive salary, benefits, 401K with company match, and CME reimbursement.

Qualifications Required

• M.D. or D.O. with an active U.S. medical license, board-certified in Gastroenterology by 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).
• Willingness to complete 3 weeks of full-time training.