Physician Clinical Reviewer – Family Practice

Posted 14ds ago

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Job Description

Physician Clinical Reviewer providing timely medical review of service requests at Prime Therapeutics. Engaging with physicians and regulatory compliance in a remote role.

Responsibilities:

  • Reviews clinical determinations and discusses with physicians
  • Provides clinical rationale for appeals
  • Assists Initial Clinical Reviewers and participates in training

Requirements:

  • 5+ years of clinical experience
  • DO, MBBS, or MD degree required
  • Eligible to work in the United States without the need for work visa or residency sponsorship

Benefits:

  • Health Insurance
  • Retirement Plans
  • Paid Time Off
  • Flexible Work Arrangements
  • Professional Development
  • Additional Compensation