Board Certified Physician Reviewer

A company is looking for a Board Certified Physician Reviewer / Advisor in Family Practice.

Key Responsibilities

Review medical records and address client-specific questions using established criteria

Ensure clear and concise rationale for determinations with adequate supporting documentation

Maintain proper credentialing, licenses, and respond to quality assurance issues as needed

Required Qualifications

Board certification as an M.D. or D.O

Active practice in the medical field

Knowledge of national, state, and professional association guidelines

Ability to perform reviews in compliance with evidence-based guidelines

Maintaining necessary state licenses and special certifications