Licensed Physician Reviewer – Obstetrics & Gynecology (OB/GYN)

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $204.8k - $292.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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ChenMed

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1970

⚕️ Healthcare Insurance

🏥 Healthcare

💊 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

• Serve as the primary physician reviewer for Utilization Management cases • Provide Delegated UM by covering assigned territories • Establish 2–3 cases per day for each market covered, up to 6 markets • Attend all health plan and local calls • Participate in weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings for assigned territories • Advise other physician reviewers • Participate in process and quality improvement in Delegated Utilization Management • Perform other duties as assigned and modified by the manager

🎯 Requirements

• Graduate from accredited Medical School with a valid, unrestricted license is required • Completion of Internal Medicine or Family Practice residency • Board Certification in Obstetrics & Gynecology (OB/GYN) • Two (2) years’ experience in Hospital medicine preferred • At least one (1) year of utilization review experience preferred • 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 Microsoft Office products such as Outlook, Excel, Word and PowerPoint

🏖️ Benefits

• Great compensation • Comprehensive benefits • Career development and advancement opportunities • Great work-life balance