We are hiring physicians for medical management positions who can effectively
• Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Requirement:
• an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS)
• minimum 5 years experience in Oncology
• board certification in medical oncology or hematology or radiation oncology
• Must have recent practice experience in direct patient care (within the past 18 months).
• Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required.
This position offers a competitive base salary, short term incentive cash bonus and exceptional benefits including a 401k plan with up to 6% contribution.