OB/GYN Physician Reviewer — Utilization & Quality Lead

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

Job summary

ChenMed LLC is seeking a Physician Reviewer to serve as the primary physician reviewer for Utilization Management (UM) cases across multiple markets. This role includes advising other reviewers, attending health plan calls, and coordinating care with local teams to support patient outcomes.

The position emphasizes process and quality improvement in delegated UM and requires strong analytical, communication, and organizational skills, with a MD license and residency in Internal Medicine or Family

Qualifications

• MD or DO with unrestricted license required.
• Residency in Internal Medicine or Family Practice completed.
• Board certification in OB/GYN.
• 2+ years hospital medicine preferred.
• 1+ year utilization review preferred.

Responsibilities

• Provides Delegated UM by covering specified territories and attending health plan/local calls.
• Advises other physician reviewers.
• Other duties as assigned and modified by manager.
• Participates in process and quality improvement in delegated UM.

Skills

Analytical reasoning

Problem-solving

Communication

Organization

English fluency

Education

MD or DO degree

Internal Medicine or Family Practice residency

Board Certification in OB/GYN

Hospital medicine experience

Utilization review experience

Tools

Microsoft Office

Job description

ChenMed LLC is seeking a Physician Reviewer to serve as the primary physician reviewer for Utilization Management (UM) cases across multiple markets. This role includes advising other reviewers, attending health plan calls, and coordinating care with local teams to support patient outcomes.

The position emphasizes process and quality improvement in delegated UM and requires strong analytical, communication, and organizational skills, with a MD license and residency in Internal Medicine or Family