💼 About This Role

You'll review medical appropriateness of services for a health insurance tech company using evidence-based guidelines. Your work directly impacts member care decisions and ensures quality standards. You'll collaborate with a dedicated team in a fully remote role.

🎯 What You'll Do

• Provide timely medical reviews meeting quality parameters
• Make clinical determinations using evidence-based criteria
• Document decisions clearly in workflow tools
• Conduct peer-to-peer discussions with treating providers

📋 Requirements

• Board certification as MD or DO
• Licensed in FL, NC, AZ or IMLC
• 6+ years of clinical practice

✨ Nice to Have

• Licensure in multiple Oscar states
• 1+ years utilization review in managed care
• BC in Cardiology, Radiation/Oncology, or Neurology

🎁 Benefits & Perks

• 🏖️ Unlimited vacation
• 💼 Annual performance bonuses
• 🏥 Medical, dental, vision
• 👶 Paid parental leave
• 💰 401(k) plan participation

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Recruiter call· 30 min
2. 2Hiring manager interview· 45 min
3. 3Panel interview· 60 min