Orthopedic Physician Reviewer

Job Summary

A company is looking for a Physician Clinical Reviewer specializing in Orthopedics, working remotely.

Key Responsibilities

• Reviews cases requiring clinical determinations not made by the Initial Clinical Reviewer
• Discusses determinations with requesting physicians and provides clinical rationale for appeals
• Acts as a resource for Initial Clinical Reviewers and participates in ongoing training and testing

Required Qualifications

• 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