Licensed Physician Reviewer – Radiology

ChenMed

Physician Reviewer overseeing utilization management cases in remote healthcare setting. Collaborating with teams to improve patient care and quality while managing multiple cases and responsibilities.

Posted 7/24/2026part-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $204,761 - $292,515 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Utilization Management, including case review and care coordination, while ensuring compliance with health plan protocols. Possesses strong analytical, communication, and organizational skills essential for effective patient management and quality improvement.

Highest-signal resume keywords

Utilization ManagementInternal MedicineFamily PracticeBoard CertificationHospital Medicine Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ReviewAnalytical SkillsDeductive ReasoningProblem-SolvingCare Coordination

Soft Skills

Professional CommunicationOrganizational SkillsJudgment

Tools & Technologies

Microsoft OfficeOutlookExcelWordPowerPoint

Certifications & Qualifications

Medical LicenseBoard Certification

Industry Keywords

Primary Care ProviderSkilled Nursing FacilityQuality ImprovementHealth PlanResidency

About the role

Key responsibilities & impact

Primary physician reviewer for Utilization Management (UM) cases in the organization
Advising other physician reviewers and attending daily calls with health plan teams
Assisting with care coordination for patients
Participating in Process and Quality improvement in Delegated Utilization Management area
Establishing 2-3 cases a day for each market covered (up to 6 markets)
Ensuring attendance on all health plan and local calls
Calling in for weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories
Other duties as assigned and modified by manager

Requirements

What you’ll need

Graduate from accredited Medical School with a valid, unrestricted license is required
Completion of Internal Medicine or Family Practice residency
Board Certification in residency area
Two (2) years’ experience in Hospital medicine preferred
At least one (1) year of utilization review experience preferred
Excellent analytical and deductive reasoning skills
Good judgement and problem-solving skills
Professional and effective communication skills
Strong organizational skills
Written and verbal fluency in English
Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

Benefits

Comp & perks

Great compensation
Comprehensive benefits
Career development and advancement opportunities
Work-life balance