Gastroenterology Physician Reviewer

Job Summary

A company is looking for a Physician Clinical Reviewer - Gastroenterology - REMOTE.

Key Responsibilities

• Reviews cases that require medical necessity determinations
• Discusses determinations with physicians or ordering providers within regulatory time frames
• Provides clinical rationale for appeals and assists Initial Clinical Reviewers as needed

Required Qualifications, Training, and Education

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