Offer summary
Qualifications:
Board Certified in General Surgery, Active, unrestricted physician license in TX, CA, FL, TN, CO, IL, MS, or AL, Strong understanding of utilization review processes.Key responsabilities:
- Conduct utilization and peer reviews
- Analyze medical records for pre-authorizations and medication reviews
- Evaluate the appropriateness of care with established guidelines
- Collaborate with healthcare professionals to ensure quality in reviews