Physician Reviewer – Pediatrician and Family Medicine

Job not on LinkedIn

🔥 1 hour ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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FHAS, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1996

⚖️ Legal

💼 Consulting

📦 Logistics

Legal • Consulting • Logistics

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

• Review medical case files and make medical determinations • Review cases involving medical necessity and appropriateness, experimental or investigational treatment, and administrative or legal issues • Review and analyze Federal and State laws, regulations, and applicable policy guides • Complete and evaluate the review process within regulatory timeframes • Assist with independent review claims and appeals filed with the Department of Human Services’ Bureau of Hearings and Appeals

🎯 Requirements

• Pediatrician, Family Medicine, Developmental Pediatrician, Child and Adolescent Psychiatrist, or Physical Medicine and Rehabilitation Physician specialty • 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 • If required by contract, licensed in the state in which requests the review • License must be unrestricted, or any permitted restriction must not affect the ability to fulfill reviewer responsibilities • License must permit applying clinical judgment to render decisions based on individual members' clinical needs • For an MD or DO, possess the same license or certification as the ordering practitioner • Current board certification issued by 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

• Contract work arrangement (1099) • Remote work location