Licensed Physician Reviewer - Neurology; remote

Licensed Physician Reviewer – Neurology (Remote)

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Physician Reviewer is the primary physician reviewer for Clinical Appropriateness Reviews cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.

• Provides Clinical Appropriateness Reviews by covering the specified territories as assigned:
  • Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
• Advises other physician reviewers.
• Other duties as assigned and modified by manager.

• Excellent analytical and deductive reasoning skills.
• Good judgement and problem‑solving skills.
• Professional and effective communication skills.
• Strong organizational skills.
• Written and verbal fluency in English.
• Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint.

• Graduate from accredited Medical School with a valid, unrestricted license.
• Completion of Internal Medicine or Family Practice residency.
• Completion of Fellowship in Neurology.
• Board Certification in residency area.
• Board Certified in Neurology.
• Two (2) years’ experience in Hospital medicine preferred.
• At least one (1) year of utilization review experience preferred.

$204,761 – $292,515 Salary

Benefits include comprehensive medical, dental, vision, and retirement plans, along with career development and advancement opportunities.