Licensed Physician Reviewer-3

ChenMed LLC; United States; On-site; USD 205,000 - 293,000; Full time

Job summary

ChenMed is seeking a Physician Reviewer to lead Utilization Management reviews and collaborate with health plan teams and local staff. You will help develop delegated UM practices and participate in quality improvement initiatives, ensuring care coordination for patients.

Requirements include an MD, unrestricted license, board certification in Internal Medicine or Family Practice, and prior hospital medicine and utilization review experience are preferred.

Qualifications

• Graduate from accredited Medical School with a valid, unrestricted license.
• Board Certification in Internal Medicine or Family Practice.
• Two years’ hospital medicine experience preferred.
• At least one year of utilization review experience preferred.

Responsibilities

• Provide Delegated UM by covering assigned territories and establishing 2–3 cases daily.
• Attend weekly health plan and local calls; participate in PCP/SNF meetings.
• Advise other physician reviewers and support process and quality improvement.
• Other duties as assigned by manager.

Skills

Analytical thinking

Problem solving

Communication skills

Organizational skills

English fluency

Microsoft Office

Education

Medical degree

Board-certified in Internal Medicine or Family Practice

Unrestricted medical license

Hospital medicine experience preferred

Utilization review experience preferred

Tools

Microsoft Office

Job description

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients.

The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Provides Delegated UM by covering the specified territories as assigned: Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
• Advises other physician reviewers.
• Other duties as assigned and modified by manager.

KNOWLEDGE, SKILLS AND ABILITIES

• Excellent analytical and deductive reasoning skills
• Good judgement and problem-solving skills
• Professional and effective communication skills
• Strong organizational skills
• Written and verbal fluency in English
• Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

EDUCATION AND EXPERIENCE CRITERIA

• Graduate from accredited Medical School with a valid, unrestricted license is required
• Completion of Internal Medicine or Family Practice residency Board Certification in residency area
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred

PAY RANGE

$204,761 - $292,515 Salary The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.

Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Who We Are

ChenMed is a family-owned, family-oriented organization committed to bringing superior health care to moderate-to-low-income seniors. Our vision To positively change American healthcare through primary care innovation for the neediest populations. Our mission To provide a convenient, patient-centered environment that fosters enduring relationships between doctors, staff and patients and delivers superior outcomes and a compassionate experience. We will create a healthcare system specifically for our patients' needs through dedicated doctors, a supportive team, and customized technology, and achieve value through scalable innovation, resourcefulness andaccountability. Our patient promise You are the reason we are here. Your coordinated healthcare and well-being is our focus. Like a member of our family, we will take care of you in good times and in times of need.