SCAN Health Plan, a nonprofit focused on improving care for older adults, seeks a temporary Medicare Advantage UM Physician to make physician-level determinations for prior authorization, concurrent reviews, and appeals. The role supports evidence-based, timely decisions within NCQA/URAC frameworks.
Local to California with UM experience in health plans is preferred. The position emphasizes collaboration with RN reviewers and leadership to ensure high-quality, compliant reviews and ongoing
#J-18808-LjbffrRemote Medicare Advantage Utilization Physician in workfromhome at Unknown Company
This position is listed as full time and onsite.