Physician Peer Reviewer – Endocrinology

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🕒 May 18

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

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FHAS, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1996

⚕️ Healthcare Insurance

🏛️ Government

🤝 B2B

Healthcare Insurance • Government • B2B

FHAS, LLC is a provider of data-driven medical review, appeals management, independent dispute resolution (IDR), and hearings/adjudication services for health plans, federal and state agencies, and government contractors. The company combines accredited clinical and legal expertise with AI-augmented, cloud-based platforms to deliver scalable, compliant reviews, claims adjudication, provider education, and dispute resolution that reduce improper payments, improve regulatory compliance, and accelerate case outcomes.

📋 Description

• Responsible for reviewing medical case files and making medical determinations • Cases may include medical necessity and medical appropriateness, experimental or investigational treatment, administrative or legal issues, or a combination of these categories • Reviews and analyzes Federal and State laws, regulations, and applicable policy guides • Completes and evaluates the review process in a regulatory timeframe

🎯 Requirements

• Successful completion of a Residency or Fellowship Program • Must possess a current state license in a state of the United States/recognized in the relevant jurisdictions as a Doctor of Medicine or Doctor of Osteopathic Medicine • License is unrestricted and if there is a restriction that is allowed by a relevant jurisdiction • Must hold a current board certification issued by the American Board of Medical Specialties or American Osteopathic Association • 5-years or more post graduate active clinical experience in direct patient care • Experience providing direct patient care within the past 3 years, if performing external reviews

🏖️ Benefits

• Health Utilization Management accreditation • Elite panel of physicians