Remote Multispecialty Physician Reviewer

FHAS, Inc. (Federal Hearings & Appeals Services); United States; Remote; USD 83,000 - 165,000; Full time

Job summary

FHAS, Inc. (Federal Hearings & Appeals Services) is expanding its elite panel of physicians licensed in the United States to perform independent medical reviews.

This remote contract role involves reviewing case files and providing determinations on medical necessity and related issues for appeals and hearings. Applicants should hold an MD or DO license, be board-certified, and have 5+ years of post-graduate clinical experience.

Qualifications

• Completion of a Residency or Fellowship program.
• Current state license as MD/DO and unrestricted license in relevant jurisdiction.
• Board certification by ABMS or AOA.

Responsibilities

• Review medical case files and make determinations on medical necessity and appropriateness.
• Analyze federal/state laws, regulations, and policy guides relevant to reviews.
• Complete reviews within regulatory timeframes.

Education

Residency or Fellowship

Board certification (ABMS or AOA)

Job description

FHAS, Inc. (Federal Hearings & Appeals Services) is expanding its elite panel of physicians licensed in the United States to perform independent medical reviews.

This remote contract role involves reviewing case files and providing determinations on medical necessity and related issues for appeals and hearings. Applicants should hold an MD or DO license, be board-certified, and have 5+ years of post-graduate clinical experience.