Job Summary
Healthcare company with approximately 42,000 employees throughout the United States has a current position open for a Telecommute Medical Review Stream Physician.
Must be able to:
- Return cases in a timely manner with clear concise and complete rationales and documented
- Review health claims providing medical interpretation and decisions
- Identify, critique, and utilize current criteria and resources
Qualifications Include:
- Current, unrestricted clinical license
- Board certified MD, DO, DC or allied health professional with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these
- 3 years post-graduate experience in direct patient care
