Physician Reviewer - Remote

Overview

The Physician Reviewer role involves determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.

In Short

• Join the Utilization Management team at Oscar.
• Review inpatient, outpatient, and pharmacy services.
• Report to the Medical Director.
• Work in a blended culture with remote options.
• Must reside in specific states for office attendance.
• Base pay ranges from $211,200 to $277,200 per year.
• Eligible for employee benefits and performance bonuses.
• Conduct peer-to-peer discussions with providers.
• Ensure compliance with laws and regulations.
• Document decisions clearly for member understanding.

Requirements

• Board certification as an MD or DO.
• 6+ years of clinical practice experience.
• 1+ years of utilization review experience.

Benefits

• Unlimited vacation program.
• Medical, dental, and vision benefits.
• 401(k) plan participation.
• Paid holidays and sick time.
• Life and disability insurance.