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Physician Reviewer, Utilization Management

- Salary up to $225K plus Performance Bonus Incentive up to $26K
- Loan Repayment Potential Through NHSC and the State of California
Los Angeles, CA 90040

Contact Information

Job Detail

  • Location
    Los Angeles, CA
  • Company
  • Facility
  • Practice Type
    Employee
  • Employment Status
    Full Time Part Time
  • Accepts J1 Visa?
    No
  • Accepts H1B Visa?
    No
  • Requires BE?
    Yes
  • Requires BC?
    Yes

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Job Description

  • Hours: Monday - Friday 8 AM - 5 PM | 1 Day Per Week 10 AM - 7 PM | 1 Saturday a Month with Additional Income
  • Employed
  • MD/DO
  • Loan Repayment
  • Compensation: - Salary up to $225K plus Performance Bonus Incentive up to $26K
    - Loan Repayment Potential Through NHSC and the State of California
  • Benefits: - Health, Dental, and Vision
    - Malpractice included with Tail Coverage
    - 5 Days of CME with $3K Annual Allowance
    - 17 PTO Days
    - Retirement - 403b, 457b, 457f - Organization Will Invest $20K Every Fiscal Year
  • Additional Information:
    - Can live anywhere in the states but must be licensed in CA
    - 3+ years of Health Plan or IPA experience doing UM Authorization Reviews
    - 3+ years of experience decisioning cases using Medi-Cal and Medicare guidelines
    - 3+ years of experience using InterQual or MCG
    - The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines where appropriate to provide guidance for processing of referrals to Medical Director staff and to UM staff.