Remote Prior Authorization Psychiatrist (Part-Time)

Gainwell Technologies; United States; Remote; USD 234,000 - 280,000; Part time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies in the United States is seeking a Prior Authorization Physician to provide medical expertise and clinical oversight in utilization management for Medicaid-focused programs. This remote, part-time contractor role reviews medical necessity, evaluates documentation, and ensures decisions are evidence-based.

You will serve as a subject matter expert for staff and providers, participate in peer-to-peer discussions, and support cost-effective, quality care while navigating

Qualifications

• MD or DO with Psychiatry specialty required.
• Unrestricted physician license in the United States required.
• Excellent verbal and written communication skills essential.

Responsibilities

• Review medical necessity requests and clinical documentation.
• Provide medical expertise and clinical oversight in utilization management.
• Engage in peer-to-peer discussions to support clinical decisions.
• Review complex cases and assist with medically necessary, cost-effective care.

Skills

Clinical judgment

Communication skills

Independent work

Education

MD or DO with Psychiatry

Unrestricted US medical license

Job description

Gainwell Technologies in the United States is seeking a Prior Authorization Physician to provide medical expertise and clinical oversight in utilization management for Medicaid-focused programs. This remote, part-time contractor role reviews medical necessity, evaluates documentation, and ensures decisions are evidence-based.

You will serve as a subject matter expert for staff and providers, participate in peer-to-peer discussions, and support cost-effective, quality care while navigating