Physician Clinical Reviewer - Psychiatry- REMOTE
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AI Summary AI Analysis
Prime Therapeutics is seeking a remote Physician Clinical Reviewer specializing in Psychiatry to join their utilization management team. This role involves timely medical review of service requests, interacting with healthcare professionals, and providing clinical rationale for appeals, requiring a DO, MBBS, or MD degree and 5+ years of experience.
Job Description
We are seeking a Physician Clinical Reviewer - Psychiatry- REMOTE to join our team at Prime Therapeutics. As a key member of the utilization management team, you will provide timely medical review of service requests and interact with physicians, leadership, and management staff. Responsibilities include reviewing cases, discussing determinations with physicians, and providing clinical rationale for appeals. Requirements include a DO, MBBS, or MD degree, 5+ years of experience, and eligibility to work in the US without a work visa or residency sponsorship.RequirementsDO, MBBS, or MD degree5+ years of clinical experienceEligibility to work in the US without a work visa or residency sponsorshipBenefitsGenerous Paid Time Off401k MatchingRetirement PlanTuition ReimbursementOriginally posted on Himalayas
Full Description
We are seeking a Physician Clinical Reviewer - Psychiatry- REMOTE to join our team at Prime Therapeutics. As a key member of the utilization management team, you will provide timely medical review of service requests and interact with physicians, leadership, and management staff. Responsibilities include reviewing cases, discussing determinations with physicians, and providing clinical rationale for appeals. Requirements include a DO, MBBS, or MD degree, 5+ years of experience, and eligibility to work in the US without a work visa or residency sponsorship.RequirementsDO, MBBS, or MD degree5+ years of clinical experienceEligibility to work in the US without a work visa or residency sponsorshipBenefitsGenerous Paid Time Off401k MatchingRetirement PlanTuition ReimbursementOriginally posted on Himalayas