Determine medical appropriateness of inpatient, outpatient, and pharmacy services.
Review clinical data and apply evidence-based guidelines.
Document decisions clearly in Oscar workflow tools for patient reference.
Use templates for case review and ensure proper turnaround times.
Engage in peer discussions with treating providers when needed.
Adhere to applicable laws and regulations.

🎯 Requirements

Board certification as an MD or DO
Licensed in FL, NC, AZ with IMLC active
6+ years of clinical practice

🎁 Benefits

Remote work from US home office
Base pay $219,000 - $286,902 per year
Employee benefits and performance bonuses

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