Arizona Licensed Prior Authorization Psychiatrist

Providing medical expertise in a Medicaid-focused environment, the part-time contractor Arizona Licensed Prior Authorization Psychiatrist will review medical necessity requests, evaluate clinical documentation, and ensure care decisions are evidence-based while working remotely. Key responsibilities Serving as a clinical subject matter expert for staff, leadership, clients, and providers Conducting medical necessity reviews for requested services, medications, and procedures using established clinical criteria Participating in peer-to-peer discussions with providers to support informed clinical decisions Required qualifications Medical degree (MD or DO) with a specialty in Psychiatry Unrestricted license to practice medicine in the United States Post-graduate experience in direct patient care Prior Authorization and/or Utilization Review experience, preferably within Medicaid or managed care environments Experience providing clinical oversight and medical leadership