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Physician Advisor – (P2P) Medical Reviewer

Company hidden

Salary

$240k – $300k

Schedule

Part Time

Location

Remote · USA

About this role

Position Summary

The Physician Advisor(1099 Contractor) is a licensed physician responsible for conducting clinical discussions with treating providers regarding utilization management determinations. The physician applies Medicare/CMS requirements, applicable medical necessity criteria, health plan policies, and clinical judgment to determine the appropriate level of care and/or medical necessity of requested services.

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