Licensed Physician Reviewer, Ophthalmology - Remote PRN

chenmed

Corporate Office🌐 Remote💼 Full-time💰 $204,761–$204,761🗓 2026-07-23 → 2026-09-25

Core

Licensed Ophthalmologist providing delegated Utilization Management (UM) reviews for health plan cases.

Role type

Licensed Physician Reviewer (Ophthalmology)

Builds

Utilization management decisions for patient care coverage

Domain

Healthcare / Utilization Management

Deliverable

client delivery

Required skills

Ophthalmology board certification, Internal Medicine or Family Practice residency, valid unrestricted medical license, analytical reasoning, problem-solving, written and verbal fluency in English

Preferred skills

Hospital medicine experience, utilization review experience

Technologies

Microsoft Office (Outlook, Excel, Word, PowerPoint)

Responsibilities

Review UM cases for assigned territories, attend health plan and local calls, participate in weekly PCP and SNF meetings, advise other physician reviewers

Seniority

Senior, hands-on IC

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