Board Certified Physician Reviewer

Job Summary

A company is looking for a Board Certified Physician Reviewer/Advisor in Family Practice.

Key Responsibilities

• Review medical records and address client-specific questions using established criteria
• Ensure clear and concise rationale for determinations with adequate supporting documentation
• Maintain proper credentialing, licenses, and respond to quality assurance issues as needed

Required Qualifications

• Board certification as an M.D. or D.O
• Active practice in the medical field
• Knowledge of national, state, and professional association guidelines
• Ability to perform reviews in compliance with evidence-based guidelines
• Maintaining necessary state licenses and special certifications