Remote Physician Reviewer - Utilization Management Pro

Oscar Health is seeking a Physician Reviewer for its Utilization Management team. This remote role supports determining medical appropriateness for inpatient, outpatient, and pharmacy services, with a focus on evidence-based guidelines and clear documentation.

You will work closely with the Associate Medical Director and participate in a weekend call rotation. The position requires MD/DO board certification, licensure in the Oscar-relevant states, and 6+ years of clinical practice, including