State Licensed Pediatric Rheumatology Reviewer

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Mar 13, 2026

Job Summary

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

Key Responsibilities
  • Reviews cases requiring medical necessity determinations
  • Discusses clinical determinations with physicians and provides clinical rationale for appeals
  • Ensures compliance with medical review guidelines and participates in training activities
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

COMPLETE JOB DESCRIPTION

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