Physician Reviewer - Utilization ManagementActive$219K–$287K

Remote · WorldwideHealthcare

The opportunity

Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team.

What they're looking for

  • Conduct timely peer-to-peer discussions with treating providers to clarify: clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned
  • Board certification as an MD or DO