Review payor peer-to-peer cases to evaluate documentation for authorization requests
Engage with payor medical directors to discuss authorization statuses and provide written case analyses
Serve as a clinical resource for medical and case management staff regarding documentation and utilization issues
Required Qualifications
Active, unrestricted MD or DO medical licensure
3+ years of clinical experience post-residency completion
Strong clinical knowledge across multiple clinical areas
Proficiency in basic computer skills
Able to work independently in a fast-paced environment
Average salary estimate
$0
/ YEARLY (est.)
min
max
$0K
$0K
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