Physician Review/Utilization Review Physician
Dublin, California, United States
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Job Summary

Occupation Physician
Specialty Internal Medicine
Degree Required MD/DO
Position Type Permanent/Full-Time
Work Environment Corporate/Non-Clinical
Location San Diego, California, United States
Visa Sponsorship No

Job Description

Last Update: 11/18/23

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.

  • 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