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Remote Utilization Management Physician Reviewer
Remote / Online - Candidates ideally in
Tallahassee, Franklin County, Florida, 32318, USA
Listed on 2026-08-22
Tallahassee, Franklin County, Florida, 32318, USA
Listing for:
Oak Street Health
Full Time, Remote/Work from Home
position Listed on 2026-08-22
Job specializations:
-
Doctor/Physician
Healthcare Consultant, Medical Doctor
Job Description & How to Apply Below
Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to assess coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. You will coordinate with internal teams to ensure medically appropriate care is recommended, adhering to CMS and payor policies.
Requirements include MD/DO with an unrestricted US license, 1+ year UM experience in Medicare/Medicaid, and strong communication.
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