We are seeking a board-certified physician to determine the medical appropriateness of inpatient, outpatient, and pharmacy services. This role involves reviewing clinical information, applying evidence-based guidelines, and making timely, well-documented medical necessity determinations.

You will report to the Associate Medical Director, Utilization Management.

• Monday Friday, 8:00 a.m. 5:00 p.m. (local time zone)

• Weekend call rotation: approximately 1 weekend every 16 weeks

This is a remote position open to candidates residing in:

• Arizona

• Florida

• Georgia

• Texas

While daily work is performed from a home office, occasional travel may be required for team meetings and company events.

• Base salary range: $211,200 $277,200 annually

• Annual performance bonus eligibility

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