Duration: 12+ Months Contract with possible extensionType: Part Time RoleRequired Skills & Experience:- Physician with board certification of psychiatrist and unrestricted license to practice as MD or DO in the US.
- Must be physically located within the US.
- Part time position- Estimated 10-15 hours per week with increases when covering for leave of other physicians.
Roles & Responsibilities:- Will review prior authorization requests for medical services to determine medical necessity.
- All review and decisioning is performed via electronic review.
- Will be required to be available for peer-to-peer reviews that may be requested based on a negative action.
- May be required to participate in a Fair Hearing should a negative action be appealed to explain the medical review process and decision making.
- Supported by a Medical Director and a team of physicians doing similar work.
Skills:- Psychiatrist, Unrestricted License, prior authorization
Education:- MD or DO with Unrestricted License
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