Physician Reviewer

We are seeking a high-performing Physician Reviewer to join our Group Health division. The role is responsible for delivering timely, defensible utilization review determinations across a high-volume, fast-paced environment.

Requirements

• MD or DO, board-certified in Internal Medicine, Family Medicine, or similar
• Active, unrestricted medical license
• Prior utilization review experience, preferably in a health plan or IRO environment
• Familiarity with InterQual, MCG, and CMS guidelines
• Strong clinical judgment and documentation skills
• Ability to work independently in a high-throughput environment

Benefits

• Medical, dental, and vision coverage
• Voluntary life insurance options
• Hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance
• Short-term disability, and long-term disability coverage
• Paid time off policy
• 401k plan with a company match
• Apple equipment and a media stipend