Physician Review/Utilization Review Physician
Job Summary
Occupation
Physician
Specialty
Internal Medicine
Degree Required
MD/DO
Position Type
Full-Time
Work Environment
Corporate/Non-Clinical
Location
San Diego, California, United States
Visa Sponsorship
No
Job Description
Last Update:
12/18/24
Vivo HealthStaff is searching for a Physician for a health plan based in San Diego, CA. This is a full-time position with competitive benefits.
The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in the most cost-effective, appropriate, and professional manner, which meets the expressed needs of patients and professional colleagues. The Physician Reviewer will be a part of the Health Services Department. This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement, and Pharmacy.
POSITION REQUIREMENTS:
- M.D. Degree
- License to practice in California must be in progress prior to the start date
- Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review
- Knowledge of physician social and political behavior and managed care philosophy