Physician Reviewer - Utilization Management

📋 Description

• Provide medical reviews that meet Oscar's stringent quality parameters.
• Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and
• Clearly and accurately document all communication and decision-making in Oscar workflow tools.
• Use correct templates for documenting decisions during case review.
• Meet the appropriate turn-around times for clinical reviews.
• Receive and review escalated reviews.

🎯 Requirements

• Board certification as an MD or DO
• Licensed in FL, NC, or AZ OR possess an active Interstate Medical Licensure Compact (IMLC)
• 6+ years of clinical practice

🎁 Benefits

• $275,000 base pay per year
• Employee benefits (medical, dental, vision)
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation