AI Summary

The role involves providing expert medical reviews to assess the necessity of services, reviewing appeals for denied services, and conducting peer-to-peer discussions with physicians. Candidates must maintain credentials, participate in strategic planning, and have an active U.S. medical license with board certification in Oncology Radiation. A minimum of 5 years of clinical experience is required.

AI Summary

The role involves providing expert medical reviews for service requests, evaluating appeals for denied services, and conducting peer-to-peer discussions with physicians. Candidates must hold an active U.S. state medical license, be board certified in Maternal-Fetal Medicine, and have at least 5 years of clinical experience. Responsibilities include participating in strategic care management planning and maintaining necessary medical credentials. The position offers a predictable schedule with no nights or weekends, and opportunities for both full and part-time work.

AI Summary

The role involves providing expert medical reviews for service requests, 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 Cardiology, and recent patient care experience. Responsibilities include participating in strategic planning and maintaining credentials. The position offers a predictable schedule with no nights or weekends, within a supportive, collaborative culture.

AI Summary

This role involves providing expert medical reviews to evaluate the necessity of services, conducting peer-to-peer discussions with physicians, and reviewing appeals for denied services. Requires an M.D. or D.O. with board certification in Neurology, strong clinical experience, and familiarity with relevant laws and standards. The position offers a supportive, collaborative culture, flexible scheduling, and opportunities for growth.

AI Summary

Provide expert medical reviews to evaluate service necessity, review appeals, and conduct peer-to-peer discussions with physicians. Maintain credentials and participate in strategic care management planning. Requires board-certified M.D. or D.O. in Orthopedics with recent patient care experience.

AI Summary

The role involves providing expert medical reviews for evaluating medical necessity, reviewing appeals for denied services, and engaging in peer-to-peer discussions with physicians. Candidates must have an active medical license, be board certified in Gastroenterology, and possess over 5 years of clinical experience. Responsibilities include maintaining credentials, participating in strategic planning, and ensuring familiarity with relevant laws and standards. The position offers a predictable schedule, remote work options, and opportunities for professional growth in a supportive and collaborative environment.

AI Summary

The role involves providing expert medical reviews to evaluate the necessity of services, reviewing appeals for denied services, and conducting peer-to-peer discussions to clarify clinical information. The candidate must be an M.D. or D.O. with board certification in Oncology, maintaining necessary credentials. They will participate in strategic planning and evaluation of Care Management. This position offers a predictable schedule with no nights, weekends, or calls, fostering a supportive and collaborative culture.

AI Summary

This role involves providing expert medical review for service requests, reviewing denied service appeals, and conducting peer-to-peer discussions with referring physicians. Candidates must be board-certified M.D. or D.O. with recent patient care experience and a minimum of 5 years of clinical background. Responsibilities include maintaining credentials, participating in strategic care management planning, and adhering to relevant medical standards and regulations. This position offers a predictable schedule with no nights or weekends.

AI Summary

The role involves providing expert medical reviews to evaluate the necessity of services and reviewing appeals for denied services. Responsibilities include conducting peer-to-peer discussions with physicians, maintaining credentials, and participating in Care Management strategic planning. Candidates must be board-certified in Maternal-Fetal Medicine, have recent patient care experience, and possess knowledge of state and federal laws. Embrace a collaborative environment with predictable work schedules and opportunities for growth.

AI Summary

The role involves timely expert medical review for evaluating the medical necessity of services, reviewing appeals for denied services, and conducting peer-to-peer discussions with physicians. Candidates must hold an active U.S. medical license, be board certified in Cardiology, and have recent direct patient care experience. Responsibilities include maintaining credentials, strategic planning for Care Management, and using automated systems.