Get AI-powered advice on this job and more exclusive features. Direct message the job poster from EPITEC As a Physician Reviewer, you'll play a critical role in ensuring that our members receive high-quality, cost-effective care. You'll work closely with our team to review clinical service requests, provide expert opinions, and develop policies and procedures that align with our organization's criteria. Your expertise will help us identify opportunities for creative problem-solving and anticipation of future clinical problems, ultimately driving better health outcomes for our members. Required Skills Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine 5 years clinical experience, including inpatient experience, or equivalent education and experience Understanding of managed care and proficiency in PC (electronic medical records) Strong clinical judgment and analytical skills Excellent communication and interpersonal skills Nice to Have Skills 10 years clinical experience Experience with managed care and utilization management Strong leadership and management skills Preferred Education and Experience Master's degree in Healthcare Administration, Public Health, or related field (optional) Other Requirements Ability to work independently and as part of a team Strong organizational and time management skills Ability to maintain confidentiality and handle sensitive information Willingness to participate in continuous quality improvement activities What We Offer Fully remote work arrangement (Weekends only) 9AM to 6PM CST Opportunity to make a meaningful impact in the lives of our members Collaborative and dynamic work environment Professional development and growth opportunities Seniority level Seniority level Associate Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at EPITEC by 2x Inferred from the description for this job 401(k) Get notified about new Medical Doctor jobs in United States . Oregon, United States $155.00-$165.00 2 months ago Healthcare Follow Up – Physician’s Office (Remote) United States $200,000.00-$225,000.00 5 days ago Incident Intervention Physician (Contract) - Fully Remote in the US Urgent Care On-Call Telemedicine Physician (Remote) New York, United States $37.50-$75.00 1 year ago Hospitalist Advisor to Healthcare Venture Capital Firm Physician - Synchronous Telehealth - 1099 / Remote Sleep Medicine Physician Advisor at Healthcare Venture Capital Fund - Healthcare Shares Virtual Care Physician - Provider Network Application Obesity Medicine Physician (Remote/Telehealth) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr EPITEC
...Optum family of businesses, is seeking a Medical Assistant II to join our team. Optum is a... ...organization that is changing the way clinicians work and live. As a member of the Optum... ...you to live your best life at work and at home. Experience the fulfillment of advancing...
Zaxbys is seeking an Assistant Manager to support daily operations in our fast-casual restaurant. Youll lead shifts, coach team members, and ensure our guests enjoy friendly, accurate, and timely service. Responsibilities include supervising front- and back-of-house...
Encompass Health seeks an Inpatient Rehab Physical Therapist to provide high-quality, evidence-based therapy for adult patients recovering from stroke, brain and spinal cord injuries, complex orthopedic conditions, and other serious illnesses. In this role, you will perform...
...School Bus Aide Assist school bus driver in maintaining discipline while bus is in operation; maintain proper records and documentation... ...the bus driver in maintaining discipline on school bus; monitor and assist students while bus is in operation. Consult with...
...NCCCO LBC /TOWER/TSS/TLL Crane Operators Tarpon Specialty Services. We are hiring NCCCO LBC /TOWER/TSS/TLL Crane Operators for the Ingleside area as well as other locations. The job is projected to last 3 years or more. Lots of hours and overtime for you to make a good...