Medical Oncology Remote Chart Review Physicians

Company: Max Populi, LLC
Location: Mountain View
Posted on: February 20, 2021

Job Description:

View all jobs Medical Oncology Remote Chart Review Physicians Mountain View, CA -- Healthcare 100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company.--

We are seeking several physicians with a board certification in Medical Oncology/Hematology to support expansion needs for the Oncology specialty.

- No long commutes to an office
- flexible schedules including weekend hours available
- part time or full time opportunities open
- Work from the comfort of your home office
- Impact care within a growing MSK specialty
- All State licenses welcome
- Must be proficient using Windows
- Must be willing to train "on the job"--

Minimum Requirements:

• The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).--
• Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredResponsibilities:
  • Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
  • Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
  • Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
  • Documents all actions related to clinical review sessions and attests to appeal review qualifications as required.
  • Maintains files of all reviews as required by law and Health Plans to retrieve reportable data.
  • Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
  • Supports the annual review of utilization review criteria.
  • Supports and communicates policy and procedures to the provider community.
  • Participates in strategic planning for and evaluation of the Care Management process/unit.
  • Assists with staff educational training and in-service programs and serves as a clinical resource for staff.Our client-- is committed to making a positive impact on healthcare, and also making a positive impact on our employees. This role offers a variety of perks and benefits including, but not limited to:
    • Flexible scheduling and work/life balance with remote and work from home opportunities
    • 4 weeks of PTO(starting) per year plus paid holidays
    • Education assistance, tuition reimbursement and professional certifications
    • Health, dental, vision, and life benefits with employer funded HSA
    • Comprehensive employee discount program, onsite fitness facilities, and smart casual dress code
    • Paid Volunteer Community Service Days
    • Ample opportunities for growth, advancement, and promotion
    • 401k retirement plan with company match of 50% employee contributions up to 6% --If interested, please send resume to skumar@maxpopuli.com or skumar@medpopuli.com.
      -- Contact information: ________________________________________________ Recruiter Max Populi, LLC 4628 Bayard Street, #207 Pittsburgh, PA 15213-2750 Tel: (412) 567-5279 Fax: (412) 567-5198 e-mail: jobs @maxpopuli.com Website: http://www.maxpopuli.com

Keywords: Max Populi, LLC, Mountain View , Medical Oncology Remote Chart Review Physicians, Healthcare , Mountain View, California