About this role

Serve as the Physician match reviewer in Imaging cases
Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers
Utilizes medical/clinical review guidelines and parameters
Ensures documentation of all communications with medical office staff and/or MD provider is recorded
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process
Participates in ongoing training per inter-rater reliability process

MD/DO/MBBS
Minimum of five (5) years’ experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred
Current, unrestricted clinical home state license in medicine or required specialty
Active Board Certification by an accredited organization
Strong clinical, management, communication, and organizational skills
Energetic and curious with a passion for quality and value in health care
Computer Proficiency
Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid
No history of a major disciplinary or legal action by a state medical board

Field Medical Director, Radiology – Part Time

Key skills