Physician Reviewer - Utilization Management at Oscar Health

You're a physician with at least six years of clinical practice and a board certification (MD or DO), looking to leverage your expertise in medical appropriateness reviews. You must be licensed in Florida or North Carolina, or hold (or be eligible for) an Interstate Medical Licensure Compact. **What makes it worth a look...** Oscar Health is offering a fully remote Physician Reviewer role with an annual base pay of $211,200 to $277,200. This position is open to candidates in Arizona, Florida, Georgia, or Texas and includes eligibility for benefits, unlimited vacation, and annual performance bonuses. **You might be a good fit if you...** * Have at least one year of utilization review experience in a managed care plan. * Can document clear and accurate decisions in workflow tools, aiming for a Flesch-Kincaid grade level of understanding. * Are comfortable conducting peer-to-peer discussions with treating providers. * Have experience applying evidence-based criteria and internal guidelines for medical reviews.