We are currently looking to hire a Physician Reviewer for a reputable insurance company. This position will be a remote/work from home position after training.

The contract is for 5 months. Ending 1/28/2020

Pay: $100 per hour.

Start Date: ASAP

Resident of Texas, work from home position

End Date: Full Tenure (3 to 6 months)/ TBD

Number of Positions: 3 positions

Licensure Requirements: TX

Job Description:

Utilization Management of clinical service requests (predeterminations and claims) made by an organization's providers; uses clinical judgment in conjunction with organization's criteria and policies to adjudicate these requests; identifies opportunities to manage members' clinical situations with a view toward creative problem solving; and anticipation of possible future clinical problems for the member. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the reporting manager. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine, clinical experience to include at least 5 years patient experience post clinical residency. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer (Note: Position does not provide direct patient care)

Required Qualifications:

Board Certified (ABMS) M.D. or D.O and unrestricted and active license to practice medicine.
Licensure Requirements: TX
Commitment of at least 25 hours and up to 40 hours per week with some scheduled weekend work.
40 hours per week preferred.
Preferred Qualifications:

At least 5 years of clinical experience post residency.
Computer proficiency a plus.
Job Type: Full-time

Salary: $100.00 /hour

Start Date: ASAP

Resident of Texas, work from home position

End Date: Full Tenure (3 to 6 months)/ TBD

Number of Positions: 3 positions

Licensure Requirements: TX

Job Description:

Utilization Management of clinical service requests (predeterminations and claims) made by an organization's providers; uses clinical judgment in conjunction with organization's criteria and policies to adjudicate these requests; identifies opportunities to manage members' clinical situations with a view toward creative problem solving; and anticipation of possible future clinical problems for the member. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the reporting manager. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine, clinical experience to include at least 5 years patient experience post clinical residency. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer (Note: Position does not provide direct patient care)

Required Qualifications:

Board Certified (ABMS) M.D. or D.O and unrestricted and active license to practice medicine.
Licensure Requirements: TX
Commitment of at least 25 hours and up to 40 hours per week with some scheduled weekend work.
40 hours per week preferred.
Preferred Qualifications:

At least 5 years of clinical experience post residency.
Computer proficiency a plus.
Job Type: Full-time

Salary: $100.00 /hour