Physician Reviewer

Get AI-powered advice on this job and more exclusive features.Direct message the job poster from EPITECAs a Physician Reviewer, you'll play a critical role in ensuring that our members receive high-quality, cost-effective care. You'll work closely with our team to review clinical service requests, provide expert opinions, and develop policies and procedures that align with our organization's criteria. Your expertise will help us identify opportunities for creative problem-solving and anticipation of future clinical problems, ultimately driving better health outcomes for our members.Required SkillsBoard Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine5 years clinical experience, including inpatient experience, or equivalent education and experienceUnderstanding of managed care and proficiency in PC (electronic medical records)Strong clinical judgment and analytical skillsExcellent communication and interpersonal skillsNice to Have Skills10 years clinical experienceExperience with managed care and utilization managementStrong leadership and management skillsPreferred Education and ExperienceMaster's degree in Healthcare Administration, Public Health, or related field (optional)Other RequirementsAbility to work independently and as part of a teamStrong organizational and time management skillsAbility to maintain confidentiality and handle sensitive informationWillingness to participate in continuous quality improvement activitiesWhat We OfferFully remote work arrangement (Weekends only) 9AM to 6PM CSTOpportunity to make a meaningful impact in the lives of our membersCollaborative and dynamic work environmentProfessional development and growth opportunitiesSeniority level Seniority level AssociateEmployment type Employment type Full-timeJob function Job function Health Care ProviderIndustries Hospitals and Health CareReferrals increase your chances of interviewing at EPITEC by 2xInferred from the description for this job 401(k)Get notified about new Medical Doctor jobs in United States .Oregon, United States $155.00-$165.00 2 months agoHealthcare Follow Up – Physician's Office (Remote) United States $200,000.00-$225,000.00 5 days agoIncident Intervention Physician (Contract) - Fully Remote in the US Urgent Care On-Call Telemedicine Physician (Remote) New York, United States $37.50-$75.00 1 year agoHospitalist Advisor to Healthcare Venture Capital Firm Physician - Synchronous Telehealth - 1099 / Remote Sleep Medicine Physician Advisor at Healthcare Venture Capital Fund - Healthcare Shares Virtual Care Physician - Provider Network Application Obesity Medicine Physician (Remote/Telehealth) We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.#J-18808-Ljbffr