Arizona Licensed Prior Authorization Psychiatrist

Job Summary

Providing medical expertise in a Medicaid-focused environment, the part-time contractor Arizona Licensed Prior Authorization Psychiatrist will review medical necessity requests, evaluate clinical documentation, and ensure care decisions are evidence-based while working remotely.

Key responsibilities

• Serving as a clinical subject matter expert for staff, leadership, clients, and providers
• Conducting medical necessity reviews for requested services, medications, and procedures using established clinical criteria
• Participating in peer-to-peer discussions with providers to support informed clinical decisions

Required qualifications

• Medical degree (MD or DO) with a specialty in Psychiatry
• Unrestricted license to practice medicine in the United States
• Post-graduate experience in direct patient care
• Prior Authorization and/or Utilization Review experience, preferably within Medicaid or managed care environments
• Experience providing clinical oversight and medical leadership