Prime Therapeutics logo
Prime Therapeutics

Reimagining pharmacy management to provide the same care we would want for our loved ones

Physician Clinical Reviewer – Pediatric Neurology

Medical ReviewerMedical ReviewerPart TimeRemoteSeniorTeam 1,001-5,000Since 1998H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

6 days ago

Salary

$90 - $154 / hour

Seniority

Senior

Postgraduate Degree5 yrs expEnglish

Job Description

• Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. • Discusses determinations with requesting physicians or ordering providers. • Provides clinical rationale for standard and expedited appeals. • Provides assistance and acts as a resource to Initial Clinical Reviewers as needed. • Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process. • Ensures documentation of all communications with medical office staff and/or physician/provider is recorded.

Job Requirements

  • Education Level DO MBBS MD Required
  • Experience Level 5+ years Required
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Benefits

  • Visit our Benefits Page to review our Benefits, Incentives and Additional Compensation

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