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Job summary
An established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This exciting opportunity involves evaluating clinical service requests, utilizing clinical judgment to adjudicate requests, and providing clinical leadership within the organization. You will play a crucial role in managing members' clinical situations through innovative problem-solving. If you are a Board Certified physician with a passion for improving healthcare delivery, this position offers a fantastic chance to make a significant impact in a supportive and dynamic environment.
Qualifications
Minimum 8 years of clinical experience, including inpatient experience.
Unrestricted and active license to practice medicine required.
Responsibilities
Evaluate clinical service requests from members and providers.
Provide clinical leadership and manage members' clinical situations.
Skills
Clinical Judgment
Problem-Solving
Managed Care Principles
PC Proficiency
Education
Board Certified (ABMS) M.D. or D.O.
Job description
An established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This exciting opportunity involves evaluating clinical service requests, utilizing clinical judgment to adjudicate requests, and providing clinical leadership within the organization. You will play a crucial role in managing members' clinical situations through innovative problem-solving. If you are a Board Certified physician with a passion for improving healthcare delivery, this position offers a fantastic chance to make a significant impact in a supportive and dynamic environment.