We are seeking a board-certified physician to determine the medical appropriateness of inpatient, outpatient, and pharmacy services. This role involves reviewing clinical information, applying evidence-based guidelines, and making timely, well-documented medical necessity determinations.
You will report to the Associate Medical Director, Utilization Management.
Schedule
Monday Friday, 8:00 a.m. 5:00 p.m. (local time zone)
Weekend call rotation: approximately 1 weekend every 16 weeks
Location
This is a remote position open to candidates residing in:
Arizona
Florida
Georgia
Texas
While daily work is performed from a home office, occasional travel may be required for team meetings and company events.
Compensation & Benefits
Base salary range: $211,200 $277,200 annually
Annual performance bonus eligibility
Comprehensive employee benefits
Unlimited vacation policy
