Licensed Physician Reviewer-GI (remote)

ChenMed LLC; Miami (FL); Remote; USD 180,000 - 250,000; Full time

Job summary

ChenMed LLC is seeking a dedicated Physician Reviewer to join our dynamic team. In this role, you will conduct Clinical Appropriateness Reviews, assist with care coordination, and ensure quality in healthcare delivery for seniors. We value innovation and are committed to providing extensive support for our team members and patients alike. Our environment fosters professional growth, allowing you to make a lasting impact in the healthcare field while enjoying a comprehensive benefits package.

Benefits

Competitive compensation

Comprehensive benefits

Career growth opportunities

Great work-life balance

Qualifications

• 2+ years in hospital medicine preferred.
• 1+ year in utilization review preferred.

Responsibilities

• Conduct Clinical Appropriateness Reviews, establishing 2-3 cases daily.
• Advise and support other physician reviewers.
• Participate in health plan and local calls.

Skills

Analytical skills

Problem-solving abilities

Communication skills

Organizational skills

Education

Graduate of an accredited Medical School

Completion of residency in Internal Medicine or Family Practice

Fellowship in Gastroenterology

Board certification in residency specialty and in Gastroenterology

Tools

Microsoft Office Suite

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? Do you have an exceptional work ethic and ambition? Are you someone who inspires others with kindness and joy?

We’re different from most primary care providers. As we rapidly expand, we need talented individuals to join our team.

The Physician Reviewer is responsible for conducting Clinical Appropriateness Reviews within our organization. Key duties include advising other physician reviewers, participating in daily calls with health plan teams and local teams, and assisting with care coordination and process improvements in our Delegated Utilization Management area.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Conduct Clinical Appropriateness Reviews in assigned territories, establishing 2-3 cases daily per market (up to 6 markets). Ensure participation in all health plan and local calls, and attend weekly PCP and SNF meetings covering the assigned territories.
• Advise and support other physician reviewers.
• Perform additional duties as assigned or modified by the manager.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Excellent analytical and deductive reasoning skills
• Good judgment and problem-solving abilities
• Effective communication skills, both written and verbal
• Strong organizational skills
• Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint)

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Graduate of an accredited Medical School with an unrestricted medical license
• Completion of residency in Internal Medicine or Family Practice
• Fellowship in Gastroenterology
• Board certification in residency specialty and in Gastroenterology
• Preferred: 2+ years in hospital medicine and 1+ year in utilization review

We’re ChenMed, transforming healthcare for seniors and improving America’s healthcare system. Family-owned and physician-led, our innovative approach enhances the health and well-being of the populations we serve. We are rapidly growing, committed to rescuing more seniors from inadequate healthcare.

Join ChenMed and be part of a team that makes a difference daily. We offer competitive compensation, comprehensive benefits, career growth opportunities, and a great work-life balance.

Current Employees apply HERE

Contingent Workers, please see the job aid HERE to apply.