Are you looking for a non-clinical opportunity that offers work/life balance while allowing you to stay clinically active?Join us as a Medical Director to conduct chart and peer reviews from your home office, making a difference in patient care nationwide.This is a Part-Time position, 25 hours a weekWork from home, Monday to Friday, 9 am - 5 pmExcellent compensation, bonus, and benefits100% Work at Home with full-time and part-time optionsJob DescriptionUtilize your analytical skills to provide timely expert medical reviews for requests evaluating the medical necessity of services that do not meet utilization review criteria.Review appeals for denied services based on medical experience and evidence-based guidelines, following appeal policies.Collaborate with over 500 Physician Peers to ensure proper patient care through evidence-based decision-making.Engage in peer-to-peer discussions with referring physicians to clarify clinical information and review outcomes.About the GI ProgramStay current with the latest literature and guidelines in Gastroenterology.Impact patient care on a national scale.Join one of the largest Gastroenterology Prior Authorization programs in the country.Support patients across all U.S. time zones.Competitive salary, benefits, 401K with company match, and CME reimbursement.Qualifications RequiredM.D. or D.O. with an active U.S. medical license, board-certified in Gastroenterology by ABMS or AOA.Recent practice experience in direct patient care within the past 18 months.Minimum of 5 years of clinical experience beyond residency/fellowship.Knowledge of applicable state and federal laws; URAC and NCQA standards are a plus.Ability to commit to a set weekly schedule (Monday through Friday).Willingness to complete 3 weeks of full-time training.
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