FHAS, LLC
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.
Physician Reviewer – Multiple Specialties
Job not on LinkedIn
🕒 January 14
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FHAS, LLC
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 • Analyze Federal and State laws, regulations, and applicable policy guides • Complete and evaluate the review process in a regulatory timeframe
🎯 Requirements
• Successful completion of a Residency or Fellowship Program • Current state license in the United States as a Doctor of Medicine or Doctor of Osteopathic Medicine • Current board certification from the American Board of Medical Specialties or American Osteopathic Association • 5-years or more post graduate clinical experience in direct patient care • Experience providing direct patient care within the past 3 years if performing external reviews
🏖️ Benefits
• Health Utilization Management (HUM) accreditation • Independent Medical Review Organization (IRO) accreditation • Expansion of elite panel of licensed physicians
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