Permanent Administrative Job in California

PHYSICIAN REVIEWER

Summary

The Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and appropriate utilization in the most cost-effective, appropriate and professional manner, which meets the expressed needs of patients and professional colleagues.

 The Physician Reviewer will be a part of the Health Services Department.  This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement and Pharmacy. 

Hours

8-hour shift: 8:00 am – 5:00 pm, weekends as needed.

Required Skills and Qualifications

• M.D. Degree
• License to practice in California must be in progress prior to start date
• Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review
• Knowledge of physician social and political behavior and managed care philosophy
• Effective communication skills
• Ability to work collaboratively with medical leadership medical staff, nurses, and hospital administration.

Preferred Skills and Qualifications

• Board Certification in Internal Medicine or Family Medicine

COMPENSATION

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