Utilization Review Physician - reputed company (Mostly Remote)
reputed company is reputed company for a Utilization Review Physician based in reputed company for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the reputed company clinician for the health plan. Responsible for the administration of medical services for company health plan utilizing the evidence-based medical policies and clinical guidelines of the plan, to ensure the appropriate and most cost-effective medical care is accessible and delivered to our members. Drives direction of the plan reputed company to cost of care, clinical initiatives and population health management and reputed company.
Will function as the clinical reputed company, working alongside state plan president as reputed company interfaces with state regulators, providers and market facilities.
Requirements:
• reputed company Certification in a specialty certified by either the American reputed company of Medical Specialties or American Osteopathic Association
• Unrestricted Medical License in the reputed company
• Minimum of 10 years of clinical reputed company post residency
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