State Licensed Family Practice Reviewer

Job Summary

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

Key Responsibilities

• Reviews cases requiring clinical determinations not made by the Initial Clinical Reviewer
• Discusses determinations with physicians or providers within regulatory time frames
• Utilizes medical review guidelines to ensure compliance with policies and procedures

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