Licensed Physician Reviewer- Gynecology - PRN - REMOTE
Core
Licensed Physician Reviewer for Utilization Management (UM) cases in Gynecology, covering specified territories and coordinating care.
Role type
Licensed Physician Reviewer (Gynecology)
Builds
Delegated Utilization Management decisions for health plans and local teams
Domain
Healthcare / Utilization Management
Deliverable
client delivery
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
Establish 2-3 UM cases daily per market, attend health plan and local calls, participate in weekly PCP and SNF meetings, advise other physician reviewers
Seniority
Mid-level, hands-on IC
Sourced via workday · Listed on CareerPlan, which tracks 70,000+ jobs from 20+ sources.