Utilization Review Physician
Dane Street, LLC
- Employment
- Full-time
About the role
Overview We are seeking a high-performing Physician Reviewer to join our Group Health division. The role is responsible for delivering timely, defensible utilization review determinations across a high-volume, fast-paced environment. Reviews span multiple case types, including preauthorization, appeals, DRG clinical validation, benefit review, and experimental/investigational determinations. Key Responsibilities Perform utilization review for: Preauthorization requests Appeals (first and second …
Read the full description on the original posting.
Perks & benefits
- 401k
- Vision Insurance
- Paid Time Off
- Pension Matching
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