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Gastroenterology - chart review - part time remote

Giugliano in Campania
Hiring Arc
150.000 € all'anno
Pubblicato il 23 giugno
Descrizione

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. J-18808-Ljbffr J-18808-Ljbffr

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