Remote Utilization Review Anesthesiologist (Part-Time)

Concentra; Oregon; Híbrido; USD 180.000 - 280.000; Jornada completa

Descripción de la vacante

Concentra seeks a Board Certified Anesthesiologist for its medical reviewstream division. This telecommute role offers a Monday–Friday schedule, about 20 hours weekly, and compensation per case as a 1099 contractor. Requires NM license and active practice for appeals.

Responsibilities include reviewing medical claims for utilization and medical necessity, and coordinating with the Medical Director on quality and licensure issues. Remote, flexible workload within business hours.

Formación

• Board-certified MD or DO with understanding of network services.
• Current, unrestricted medical license.
• Active medical practice for appeals.
• Familiar with utilization review and credentialing.

Responsabilidades

• Review medical files for utilization, medical necessity, and disability claims.
• Discuss quality of care with medical leadership when required.
• Maintain credentials and state licenses.
• Provide timely, well-reasoned case rationales.
• Communicate with providers regarding criteria and appeals.
• Attend orientation and training and support QA processes.

Conocimientos

Board certification

Clinical review

Credentialing

Negotiation skills

Educación

MD/DO degree

Active medical license

Descripción del empleo

Concentra seeks a Board Certified Anesthesiologist for its medical reviewstream division. This telecommute role offers a Monday–Friday schedule, about 20 hours weekly, and compensation per case as a 1099 contractor. Requires NM license and active practice for appeals.

Responsibilities include reviewing medical claims for utilization and medical necessity, and coordinating with the Medical Director on quality and licensure issues. Remote, flexible workload within business hours.