Dermatology Clinical Reviewer

Job Summary

A company is looking for a Physician Clinical Reviewer - Dermatology to provide medical reviews of service requests and interact with healthcare professionals.

Key Responsibilities

• Reviews cases requiring clinical determinations and discusses findings with physicians
• Provides clinical rationale for appeals and assists Initial Clinical Reviewers with case discussions
• Ensures compliance with medical review guidelines and documents communications accurately

Required Qualifications

• Education Level: DO, MBBS, or MD required
• Experience Level: Minimum of 5 years in a clinical setting required
• Must be eligible to work in the United States without visa sponsorship