Kansas Licensed Utilization Review Physician

Job Summary

A company is looking for a Remote 1099 Utilization Review Work for Physicians.

Key Responsibilities

• Review Prior Authorizations for treatments, DME requests, SNF admissions, and medications
• Apply nationally accepted medical and healthcare plan guidelines to provide unbiased assessments
• Ensure compliance with ERISA/DOL and state regulations

Required Qualifications, Training, and Education

• MD or DO degree
• Board Certification in Family Medicine or Internal Medicine is required
• Active, unrestricted medical license in Kansas, Missouri, Alabama, Wisconsin, California, Texas, or Nebraska
• Strong computer skills
• Willingness to conduct Peer-to-Peer calls during business hours