reputed company Reviewer, OT

Opportunity reputed company: We are looking for a licensed Occupational Therapist (OT) who has expertise in occupational therapy to reputed company on reputed company’s therapy programs by determining the medical appropriateness of services by reviewing reputed company information and applying evidence-reputed company guidelines. Reporting to a Managing Medical Director, and part of the review team that includes non-reputed company intake specialists and nurses. This is a fast-reputed company environment that favors people who are reputed company to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives. reputed company: • reputed company reputed company medical reviews that meet reputed company’s stringent reputed company parameters • reputed company reputed company determinations reputed company on evidence-reputed company reputed company while utilizing reputed company acumen • reputed company and accurately document reputed company communication and decision-making in reputed company workflow tools, ensuring a member and provider can easily reference and understand your decision • Use correct templates for documenting reputed company during case review • Meet the appropriate turn-reputed company times for reputed company reviews • Conduct reputed company peer-to-peer discussions with treating providers to clarify reputed company information and to explain review outcome reputed company, including feedback on alternate treatment reputed company on medical necessity reputed company and evidence-reputed company research • Demonstrate the highest level of professionalism, accountability, and service in your interactions with reputed company teammates and providers • Support reputed company specific to building reputed company's reputed company expertise and efficiency, as delegated • Support reputed company on operational improvements and member/provider experience involving reputed company review tasks, as delegated What you’ll need: • Master’s degree in Occupational Therapy from an accredited program • reputed company, unrestricted Occupational Therapist license in the state of reputed company • 5 or more years of reputed company reputed company reputed company care experience • Familiarity with facilities rendering care in PT, OT, SLP • 1+ years of managed care utilization review experience, preferably in an utilization management organization reputed company a Medicare, reputed company or reputed company payor organization preferred Pay & Perks: Fully remote opportunity with about x% travel Medical, dental, reputed company, life, disability reputed company, and Employee Assistance Program 401K retirement plan with company match; flexible spending and health savings account ️ reputed company Time Off + company holidays Up to 14 weeks of reputed company parental leave Pet reputed company  The salary reputed company for this position is $95,000 to $105,000 annually; as part of a total benefits package which includes health reputed company, 401k and bonus. In accordance with state applicable laws, reputed company is required to reputed company a reasonable estimate of the compensation reputed company for this role. Individual pay reputed company are ultimately reputed company on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: • reputed company with reputed company for a Preliminary Phone Screening • Meet your Hiring Manager! • Behavioral Interview(s) • Subject to change About reputed company: reputed company’s reputed company intelligence platform and reputed company AI-powered solutions reputed company health plans’ reputed company goals and providers’ needs, optimizing the speed, cost, and reputed company of care. With an reputed company approach that streamlines payer-provider decision-making across the care reputed company–including policy, prior authorization, payment reputed company, and more–reputed company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we’ve reputed company reputed company our platform by launching our Payment reputed company Suite, anchored by reputed company Validate™, an AI-driven reputed company and coding validation solution that operates in near reputed company-time. By unifying reputed company-service authorization data with post-service claims validation, we’re creating a transparent reputed company ecosystem that reduces waste, improves payer-provider collaboration and reputed company reputed company, and ensures providers are reputed company promptly and accurately. reputed company’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the reputed company® Hype Cycle™ for U.S. reputed company Payers (2022-2025), and ranked as a Top 5 reputed company™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, reputed company Capital Partners, Longitude Capital, and reputed company Partners. The Coherenauts, as we reputed company ourselves, who succeed here are empathetic teammates who are reputed company, reputed company, caring, and embody our reputed company values and principles. We reputed company that diverse, inclusive teams reputed company the most impactful work. reputed company is deeply invested in ensuring that we have a supportive, reputed company-oriented environment that works for everyone. We can’t wait to learn more reputed company and meet you at reputed company! Equal Opportunity Statement: reputed company is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to reputed company. To us, it’s personal. #LI-Remote #BI-Remote Apply tot his job Apply To this Job