Remote Medicare Advantage Utilization Physician

SHPCA SCAN Health Plan; California; Híbrido; USD 207.000 - 276.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Excellent 401(k) Retirement Savings

Annual employee bonus program

Generous PTO

Descripción de la vacante

SCAN Health Plan, a nonprofit focused on improving care for older adults, seeks a temporary Medicare Advantage UM Physician to make physician-level determinations for prior authorization, concurrent reviews, and appeals. The role supports evidence-based, timely decisions within NCQA/URAC frameworks.

Local to California with UM experience in health plans is preferred. The position emphasizes collaboration with RN reviewers and leadership to ensure high-quality, compliant reviews and ongoing

Descripción del empleo

SCAN Health Plan, a nonprofit focused on improving care for older adults, seeks a temporary Medicare Advantage UM Physician to make physician-level determinations for prior authorization, concurrent reviews, and appeals. The role supports evidence-based, timely decisions within NCQA/URAC frameworks.

Local to California with UM experience in health plans is preferred. The position emphasizes collaboration with RN reviewers and leadership to ensure high-quality, compliant reviews and ongoing