What are the responsibilities and job description for the Physician Reviewer position at Inland Empire Health Plan?
Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Physician Reviewer provides support in clinical decision-making oversight and physician level guidance in quality management, utilization management, and care management. The Physician reviewer supports all IEHP departments in meeting the regulatory requirements set forth by the various government agencies.
The Physician Reviewer shall perform Medical Review activities and provide IEHP Medical Director support. The Physician Reviewer shall perform determinations, communicate medical necessities and support IEHP Medical Director(s) as needed or requested by IEHP.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
CalPERS retirement
State of the art fitness center on-site
Qualifications
Education & Experience
- Five (5) years or more of post-residency experience in a recognized medical specialty, which must have included at least one (1) year of medical leadership experience
- Doctor of Medicine, PsyD, or PhD in Clinical Psychology from an accredited institution required
Key Qualifications
- Microcomputer applications such as Microsoft Office, Word, Excel, and Access helpful
- Strong communication skills
- Ability to create and maintain positive working relationships
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
USD $105.79 - USD $145.45 /Hr.
