Utilization Management Physician Reviewer-ft

CVS Health

Remote
Base: $174,070.00 - $374,920.00; bonus/equity: not...
Clinical experience in utilization management
Strong communication skills
Knowledge of cms guidelines
The Utilization Management Physician Reviewer ensures timely and clinically sound coverage determinations for services

Job Summary

  • The Utilization Management Physician Reviewer ensures timely and clinically sound coverage determinations for services.
  • Candidates must be licensed MDs or DOs with 3–5 years of clinical experience.
  • CVS Health offers comprehensive benefits to support the wellness of colleagues and their families.

Matching Summary

The Utilization Management Physician Reviewer ensures timely and clinically sound coverage determinations for services.

Salary

Base: $174,070.00 - $374,920.00; Bonus/Equity: Not specified; Benefits: Comprehensive and competitive benefits

Skills & Requirements

Must-have

  • Clinical experience in utilization management
  • Strong communication skills
  • Knowledge of CMS guidelines

Nice-to-have

  • Culturally responsive care
  • Attention to detail
  • Experience in quality improvement initiatives

Key Requirements

  • Licensed MD or DO
  • 3-5 years of clinical practice
  • Experience with Medicare or Medicaid populations

Work Rights

Not specified

Tailored Resume

Cover Letter