Licensed Physician Reviewer – GI

🕒 May 26

🇺🇸 United States – Remote

💵 $204.8k - $292.5k / year

⏱ Part Time

🟢 Junior

🟡 Mid-level

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ChenMed

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1970

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Healthcare • Pharmaceuticals

ChenMed is America’s leading primary care provider focused on delivering preventive, VIP care for seniors. The company prioritizes the doctor-patient relationship, offering a personalized and intensive care model where physicians manage smaller patient panels, enhancing the quality of care. With around-the-clock access to doctors, on-site medications, and transportation assistance, ChenMed aims to improve health outcomes for vulnerable elderly populations, emphasizing prevention and relationship-building in healthcare.

📋 Description

• Provides Clinical Appropriateness Reviews by covering 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 weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings • Advises other physician reviewers • Other duties as assigned and modified by manager

🎯 Requirements

• Graduate from accredited Medical School with a valid, unrestricted license • Completion of Internal Medicine or Family Practice residency • Completion of Fellowship in Gastroenterology • Board Certification in residency area • Board Certification in Gastroenterology • Two (2) years’ experience in Hospital medicine preferred • At least one (1) year of utilization review experience preferred • Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint • Written and verbal fluency in English

🏖️ Benefits

• Health insurance • 401(k) • Career development and advancement opportunities • Work-life balance • Bonuses or commissions