AI Summary

This role involves providing expert medical reviews to assess the medical necessity of services, conducting peer-to-peer discussions to clarify clinical information, and reviewing appeals for denied services. The candidate must be an M.D. or D.O. with a current U.S. state medical license, board certified in Orthopedic Surgery, and have at least 5 years of clinical experience. Familiarity with state and federal laws, URAC, and NCQA standards is required.

AI Summary

The 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. Candidates must be board-certified gastroenterologists with U.S. medical licenses and a minimum of 5 years of clinical experience. They will participate in strategic planning and maintain credentials, with a supportive, collaborative work environment offering flexible scheduling and professional growth opportunities.

AI Summary

Seeking an experienced M.D. or D.O. for a role involving expert medical reviews to evaluate medical necessity and review appeals for denied services. Responsibilities include peer-to-peer discussions with referring physicians and strategic planning for Care Management. Must maintain necessary credentials and have a minimum of 5 years of clinical experience.

AI Summary

Seeking a board-certified Oncology Radiation M.D. or D.O. to provide expert medical review for service requests, evaluate appeals, and conduct peer-to-peer discussions. Maintain credentials and participate in strategic Care Management planning. Minimum of 5 years clinical experience required.

AI Summary

This role involves providing expert medical reviews for service requests, reviewing denied service appeals, and engaging in peer-to-peer discussions with physicians. The candidate must maintain credentials, participate in strategic care management evaluations, and possess a minimum of 5 years of clinical experience.

AI Summary

The role involves providing expert medical reviews for service requests and evaluating denied appeals. Responsibilities include peer-to-peer discussions with physicians, maintaining credentials, and participating in Care Management strategic planning. Candidates must be board-certified cardiologists with recent patient care experience and knowledge of relevant medical laws and standards. The position offers a supportive culture, predictable schedule, and opportunities for growth.

AI Summary

Seeking a BC/BE Non-Interventional Cardiologist to join a dynamic Heart Center team. Collaborate with Cardiology & Pulmonary Critical Care specialists and Advanced Practice Providers. Enjoy strong program support, productivity incentives, and quality work-life balance.

AI Summary

Join a well-established clinic as a BE/BC Pediatrician, providing personalized, compassionate care within a full-scope practice. Enjoy flexible scheduling, a collaborative team environment, and a unique patient population, fostering a quality work-life balance.

AI Summary

Join a small IHS hospital in rural AK as a Hospitalist, working two weeks on hospital duties and two weeks developing and educating staff on Covid-19 procedures. Ideal candidates have extensive hospitalist experience, including intubation and vent management. This one-year assignment offers potential for extension or permanent employment, with opportunities for extensive hours and a comprehensive benefits package.

AI Summary

Join a small IHS hospital in rural Alaska as a Board Certified Family Physician, enjoying a great work-life balance with a six-month work schedule. Focus on outpatient care with no call or hospital duties. Collaborate with a supportive team including OB, Psychiatry, and ER staff. Engage in occasional village visits, all while benefiting from a comprehensive employment package.