Physician Advisor – (P2P) Medical Reviewer (1099 Contractor)
Clover Health
Standort: Remote - USA, United States (Remote)
**Physician Advisor – (P2P) Medical Reviewer at Clover Health (Remote)** **What you'll do** - Conduct peer-to-peer discussions with treating providers regarding utilization management - Review clinical documentation and determine medical necessity - Apply CMS Medicare requirements and health plan policies - Document discussions accurately and meet turnaround times **What they're looking for** - MD or DO from an accredited medical school - Current, unrestricted U.S. medical license - Board certification in an appropriate clinical specialty - Experience in utilization management or peer-to-peer reviews **Details** - Location: Remote, United States - Type: Contractor (1099) - Salary: null
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