Utilization Management Physician Reviewer

CVS Health; Illinois; Hybrid; USD 207,000 - 253,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria, clinical judgment, and internal policies. This role requires coordination with care teams to ensure appropriate care and timely determinations to support optimal patient outcomes.

Qualified candidates will hold an MD/DO, have 1+ year UM experience in Medicare/Medicaid, demonstrate excellent communication, and possess US work authorization.

Qualifications

• At least one year experience providing Utilization Management services to a Medicare and/or Medicaid line of business.
• Excellent verbal and written communication skills.
• A current, clinical, unrestricted license to practice medicine in the United States.
• Graduate of an accredited medical school. MD or DO required.
• 3-5 years of clinical practice in a primary care setting.
• Deep understanding of managed care, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, and pharmacy management.
• Strong record of continuing education activities relevant to practice area and licensure.
• Demonstrated understanding of culturally responsive care.
• Proven organizational and detail-orientation skills.
• US work authorization.
• Someone who embodies being Oaky.

Responsibilities

• Review service requests and document the rationale for the decision per Oak Street Health policies and industry standards.
• Use evidence-based criteria and clinical reasoning to make UM determinations.
• Work with Transitional Care and PCP teams to drive efficient care delivery.
• Maintain knowledge of CMS and MCG guidelines for UM decisions.
• Maintain compliance with regulatory and accreditation requirements and payor partner policies.
• Participate in UM improvement initiatives and committees.
• Assist in responses to health plans regarding UM processes or determinations.
• Adhere to regulatory requirements of payor partners.
• Participate in rounding and patient panel management discussions.
• Fulfill on-call requirements as needed.
• Other duties as assigned.

Skills

Utilization Management

Verbal & written communication

Licensed physician

Primary care experience

Cultural competency

Organizational skills

Education

MD/DO degree

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Company: Oak Street Health

Title: Utilization Management Physician Reviewer

Location: Fully Remote

Hours: full time, Monday - Friday, 8am -5pm

Salary: $230k per year

Role Description:

This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is recommended to the patient and their care team, which may require coordination with internal and external parties including, but not limited to: requesting providers, external UM and case management staff, internal transitional care managers, employed primary care providers, and regional medical leaders. We strive for clinical excellence and ensuring our patients receive the right care, in the right setting, at the right time.

Core Responsibilities:

• Review service requests and document the rationale for the decision in easy to understand language per Oak Street Health policies and procedures and industry standards; types of requests include but not limited to: Acute, Post-Acute, and Pre-service (Expedited, Standard, and Retrospective)
• Use evidence-based criteria and clinical reasoning to make UM determinations in concert with an enrollee’s individual conditions and situation. OSH does not solely make authorization determinations based on criteria, but uses it as a tool to assist in decision making.
• Work collaboratively with the Oak Street Health Transitional Care and PCP care teams to drive efficient and effective care delivery to patients
• Maintain knowledge of current CMS and MCG evidence-based guidelines to enable UM decisions
• Maintain compliance with legal, regulatory and accreditation requirements and payor partner policies
• Participate in initiatives to achieve and improve UM imperatives; for example, participate in committees or work-groups to help advance UM efforts at Oak Street and promote a culture of continuous quality improvement
• Assist in formal responses to health plan regarding UM process or specific determinations on an as-needed basis
• Adhere to regulatory and accreditation requirements of payor partners (e.g., site visits from regulatory & accreditation agencies, responses to inquiries from regulatory and accreditation agencies and payor partners, etc.)
• Participate in rounding and patient panel management discussions as required
• Fulfill on-call requirement, should the need arise
• Other duties, as required and assigned

What are we looking for?

• At least one year experience providing Utilization Management services to a Medicare and/or Medicaid line of business
• Excellent verbal and written communication skills
• A current, clinical, unrestricted license to practice medicine in the United States. (NCQA Standard)
• Graduate of an accredited medical school. M.D. or D.O. Degree is required. (NCQA Standard)
• 3-5 years of clinical practice in a primary care setting
• Deep understanding of managed care, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, and pharmacy management
• Strong record of continuing education activities (relevant to practice area and needed to maintain licensure)
• Demonstrated understanding of culturally responsive care
• Proven organizational and detail-orientation skills
• US work authorization
• Someone who embodies being Oaky

What does being Oaky look like?

• Radiating positive energy
• Assuming good intentions
• Creating an unmatched patient experience
• Driving clinical excellence
• Taking ownership and delivering results
• Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to Rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities, and focused on the quality of care over volume of services. We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Anticipated Weekly Hours 40

Time Type Full time

Pay Range

The typical pay range for this role is: $174,070.00 - $374,920.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/12/2027

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.