MD Licensed Physician Advisor

Job Summary

A company is looking for a PAS Physician Advisor Payer Peer to Peer.

Key Responsibilities

• Review payor peer-to-peer cases for authorization denials and evaluate documentation
• Engage with payor medical directors to discuss authorization requests based on documentation
• Provide written analyses and serve as a clinical resource for medical and case management staff

Required Qualifications

• Active, unrestricted MD or DO medical licensure
• Minimum 3+ years of clinical experience post-residency completion
• Strong clinical knowledge across multiple areas
• Ability to work independently in a fast-paced environment
• Proficiency in basic computer skills