Independent Medical Review Physician – Multi-Specialty

FHAS, LLC; Wilkes-Barre (Luzerne County); On-site; USD 120,000 - 180,000; Part time

Job summary

FHAS, LLC is seeking Physician Reviewer for multiple specialties in Texas and New Mexico. The role involves reviewing medical case files, determining medical necessity, and addressing administrative or legal review issues for external peer reviews.

Qualified candidates will have completed a residency or fellowship, hold a current US medical license (TX or NM as required), and possess board certification by ABMS or AOA.

Qualifications

• Successful completion of a Residency or Fellowship Program.
• Must possess a current state license in the United States (MD/DO) and be licensed in TX or NM if required by contract.
• Must hold board certification issued by the American Board of Medical Specialties or American Osteopathic Association.

Responsibilities

• Review medical case files and determine medical necessity and appropriateness, including administrative or legal issues.
• Review and analyze Federal and State laws, regulations, and policy guides relevant to reviews.
• Complete and evaluate the review process within regulatory timeframes.

Education

Residency or Fellowship Program completed

Current US medical license (MD/DO)

Board certification by ABMS or AOA

Job description

FHAS, LLC is seeking Physician Reviewer for multiple specialties in Texas and New Mexico. The role involves reviewing medical case files, determining medical necessity, and addressing administrative or legal review issues for external peer reviews.

Qualified candidates will have completed a residency or fellowship, hold a current US medical license (TX or NM as required), and possess board certification by ABMS or AOA.