Licensed Physician Reviewer - Urologist , PRN (remote)
Core
Primary physician reviewer for Utilization Management (UM) cases, covering specified territories and coordinating care for patients.
Role type
Licensed Physician Reviewer (Urologist)
Builds
Utilization management decisions and care coordination for health plan and local teams
Domain
Healthcare / Utilization Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Analytical and deductive reasoning, judgement, problem-solving, written and verbal fluency in English, Microsoft Office proficiency
Preferred skills
Hospital medicine experience, utilization review experience
Technologies
Microsoft Office (Outlook, Excel, Word, PowerPoint)
Responsibilities
Cover specified territories and establish 2-3 UM cases daily, attend health plan and local calls, participate in weekly PCP and SNF meetings, advise other physician reviewers
Seniority
Mid-level, hands-on IC