AI Summary

Seeking an M.D. or D.O. with board certification in Gastroenterology to provide expert medical reviews for service necessity, handle appeals, and engage in peer-to-peer discussions. Requires a minimum of 5 years of clinical experience, knowledge of relevant laws, and computer proficiency. Offers a predictable work schedule with no nights or weekends.

AI Summary

The role involves providing timely expert medical reviews to assess the necessity of services, handling appeals for denied services, and conducting peer-to-peer discussions with physicians. Candidates must have an active U.S. medical license, board certification in Oncology, and recent patient care experience. Responsibilities also include strategic planning for Care Management and maintaining credentials. This is a salaried position with a predictable schedule, offering full and part-time opportunities in a supportive, collaborative environment.

AI Summary

Provide expert medical reviews to evaluate the necessity of services, review appeals for denied services, and conduct peer-to-peer discussions with physicians. Participate in strategic planning for Care Management. Requires M.D. or D.O. with board certification in Oncology Radiation and recent patient care experience.

AI Summary

The role involves providing expert medical review for evaluating the necessity of services, reviewing appeals for denied services, and engaging in peer-to-peer discussions with physicians. Candidates must maintain credentials, participate in strategic planning, and possess recent clinical experience. The position offers a predictable work schedule with no nights or weekends, and opportunities for professional growth in a supportive, collaborative environment.

AI Summary

This role involves providing expert medical reviews to evaluate service necessity, handling appeals, engaging in peer discussions, and participating in strategic care management planning. The candidate must be a board-certified cardiologist with a U.S. medical license, possessing recent practice experience and a minimum of 5 years in clinical settings. Familiarity with automated processes and applicable regulations is required. Enjoy a predictable work schedule with no nights or weekends, and opportunities for growth in a supportive, collaborative environment.

AI Summary

This role involves providing expert medical reviews to assess the medical necessity of services, reviewing appeals for denied services, and engaging in peer-to-peer discussions with referring physicians. Candidates must maintain necessary credentials, participate in strategic planning for Care Management, and have a minimum of 5 years of clinical experience. This position offers a predictable schedule, with no nights or weekends, and opportunities for growth within a supportive, collaborative organization.

AI Summary

As a medical reviewer, you will provide expert evaluations on the medical necessity of services, review appeals for denied services, and conduct peer-to-peer discussions with physicians. You must maintain credentials and participate in strategic planning for Care Management. This role requires an M.D. or D.O. with board certification in Orthopedic Surgery and at least 5 years of clinical experience. Embrace a supportive, collaborative culture with a predictable work schedule and ample growth opportunities.

AI Summary

Seeking an experienced M.D. or D.O. to provide expert medical reviews, evaluate service necessity, and participate in peer-to-peer discussions. Must maintain credentials and have gastroenterology board certification. Requires 5+ years of clinical experience.

AI Summary

This role involves providing expert medical reviews to evaluate the necessity of services, reviewing appeals for denied services, and engaging in peer-to-peer discussions with physicians. The candidate must be an M.D. or D.O., board-certified in Oncology, with at least five years of clinical experience. Familiarity with state and federal laws and computer systems is required. This position offers a predictable work schedule with no nights, weekends, or calls, in a supportive and collaborative environment.

AI Summary

The position involves providing expert medical reviews to evaluate the necessity of services, reviewing appeals for denied services, and conducting peer-to-peer discussions with physicians. Candidates must maintain credentials, engage in strategic planning, and have board certification in Oncology Radiation. A minimum of 5 years of clinical experience is required. The role offers a predictable work schedule with no nights or weekends and opportunities for growth in a supportive, collaborative environment.