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