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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Job is Expired