Physician Reviewer - Los Angeles, United States - Inland Empire Health Plan

Description

What you can expect

Find joy in serving others with IEHP We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to anauthentic experience

The Physician Reviewer provides support in clinical decision-making oversight and physician level guidance in quality management, utilization management, and care management. The Physician reviewer supports all IEHP departments in meeting the regulatory requirements set forth by the various government agencies.

The Physician Reviewer shall perform Medical Review activities and provide IEHP Medical Director support. The Physician Reviewer shall perform determinations, communicate medical necessities and support IEHP Medical Director(s) as needed or requested by IEHP.

Education & Experience

• Five (5) years or more of post-residency experience in a recognized medical specialty, which must have included at least one (1) year of medical leadership experience
• Doctor of Medicine, PsyD, or PhD in Clinical Psychology from an accredited institution required

Key Qualifications

• Microcomputer applications such as Microsoft Office, Word, Excel, and Access helpful
• Strong communication skills
• Ability to create and maintain positive working relationships

Start your journey towards a thriving future with IEHP and applyTODAY