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Remote UM Physician Reviewer for Medicare/Medicaid
Remote / Online - Candidates ideally in
Bismarck, Burleigh County, North Dakota, 58502, USA
Listed on 2026-08-19
Bismarck, Burleigh County, North Dakota, 58502, USA
Listing for:
Oak Street Health
Full Time, Remote/Work from Home
position Listed on 2026-08-19
Job specializations:
-
Doctor/Physician
Healthcare Consultant, Internal Medicine Physician
Job Description & How to Apply Below
Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. You will coordinate with internal and external teams to ensure medically appropriate care, in line with Oak Street Health policies and CMS guidelines.
The role emphasizes collaboration with Transitional Care and PCP teams, knowledge of CMS/MCG guidelines, and adherence to regulatory
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