Physician Reviewer - Utilization Management (Part Time)Active$270K–$302K

Oscar Health
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Remote · New York, New York, United StatesHealthcare

The opportunity

Hi, we're Oscar. We're hiring a part-time 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