Physician Reviewer - Utilization Management

About This Gig

We're hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. Requirements Board certification as an MD or DO Licensed in FL or NC and/or active Interstate Medical Licensure Compact (IMLCC) or eligible to apply for IMLCC. 6+ years of clinical practice 1+ years of utilization review experience in a managed care plan (health care industry) Benefits medical dental vision benefits 11 paid holidays paid sick time paid parental leave 401(k) plan participation life and disability insurance paid wellness time and reimbursements Originally posted on Himalayas

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