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Medical Oncology Medical Director - Utilization Review
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Full-time
- Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
- Document the pre-certification review in a complete, concise, and accurate manner in the pre-certification computer application.
- As necessary, assist pre-certification nurses and other staff in understanding the principles behind appropriate utilization of covered treatments and genetic testing.
- Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care.
- Perform first level provider appeals as designated by the client for adverse determinations.
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