Are you looking for a non-clinical opportunity that offers work / life balance while allowing you to stay clinically active?
Join us as a Medical Director to conduct chart and peer reviews from your home office, where you’ll be empowered to make a difference in the lives of patients by improving healthcare quality nationwide.
* This is a Part-Time 25 hours per week position.
* Work from the comfort of your home, Monday to Friday, 9am - 5pm.
* Excellent compensation, bonus, and benefits are provided.
* 100% Work at Home with full-time and part-time opportunities available.
Job Description
* Use your analytical skills to provide timely expert medical reviews for requests evaluating the medical necessity of services that do not meet utilization review criteria.
* Review appeals for denied services based on relevant medical experience and evidence-based guidelines, in accordance with appeal policies.
* Collaborate with over 500 Physician Peers to ensure patients receive proper care through evidence-based decision-making.
* Engage in peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcomes.
About the GI Program
* Stay at the forefront of Gastroenterology by continually learning and applying the latest literature and guidelines.
* Impact patient care on a national scale.
* Join one of the largest Gastroenterology Prior Authorization programs in the country.
* Contribute to clinical change nationwide while supporting patients across all U.S. time zones.
* Enjoy a competitive base salary, benefits, 401K with company match, and CME reimbursement.
Qualifications Required
* M.D. or D.O. with an active, current U.S. medical license and board certification in Gastroenterology (ABMS or AOA).
* Recent practice experience in direct patient care within the past 18 months.
* Minimum of 5 years of clinical experience beyond residency / fellowship.
* Knowledge of applicable state and federal laws; URAC and NCQA standards are a plus.
* Ability to commit to a set weekly schedule (Monday through Friday).
* Must be able to complete 3 weeks of full-time training.
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