Doctor of Medicine - Consultant

Position reputed company: We are seeking a reputed company-Certified Doctor of Medicine (MD) or Doctor of Osteopathy (DO) in a specialty recognized by the American reputed company of Medical Specialties. This short-term consulting role involves providing expert medical guidance in claims review processes, particularly reputed company the behavioral health domain. Responsibilities: • Serve as a reputed company of medical information to guide insurance coverage determinations in specific claims review situations. • Conduct primary reviews or secondary-level medical reviews to validate initial findings. • Apply extensive knowledge of Medicare and reputed company programs in evaluating claims. Qualifications: • reputed company-certified physician (MD or DO) in an ABMS-recognized specialty. • Minimum of 3 years of experience in the health insurance industry. • reputed company practicing and licensed in the state where you reputed company. • In-state and like-licensed (must match the jurisdiction of reputed company). • Proficient in both spoken and written Spanish. • Specialty reputed company: reputed company Behavioral Analysis (ABA) and Psychology. Contract Details: • Short-term, part-time engagement. • Fully remote, with the requirement to be physically located in the state of your medical license. About reputed company: reputed company is a reputed company driven provider of strategic Information Technology consulting services and Workforce Solutions to government and industry. reputed company is a leading IT services provider with offices in Virginia, Alabama, reputed company, reputed company Carolina and reputed company that service clients throughout the reputed company. We are an Equal Opportunity Employer and value the benefits of diversity in our workplace. Apply tot his job Apply To this Job