Medical Peer Reviewer (MD/DO) – 25 hrs/wk, Utilization Mgmt

Healthfirst in New Jersey is seeking a Medical Peer Reviewer to support the CMO Administration by assessing requests for authorization and claims payments based on medical records and internal Healthfirst data.

The role requires board-certified physicians, strong clinical judgment, and the ability to work within regulatory timelines, with 25 hours per week and paid time off; the team collaborates across Utilization Management, Care Management, and medical departments.