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ChenMed

Licensed Physician Reviewer, Ophthalmology

ChenMed

Physician Reviewer for Ophthalmology at ChenMed, responsible for overseeing Utilization Management cases and advising on medical care. Collaborates in process and quality improvement initiatives.

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, coordinating patient care, and conducting quality improvement initiatives. Holds a valid medical license and board certification in Ophthalmology, with experience in hospital medicine and utilization review.

Highest-signal resume keywords
Utilization ManagementPatient Care CoordinationBoard Certification - OphthalmologyInternal Medicine or Family Practice ResidencyUtilization Review Experience

ATS Keywords

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Applicant Tracking System Keywords

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Certifications & Qualifications
Valid Medical LicenseBoard Certification - Ophthalmology
Industry Keywords
Hospital MedicineQuality ImprovementDelegated Utilization ManagementPhysician ReviewerHealth Plan Coordination

About the role

Key responsibilities & impact
  • Be the primary physician reviewer for Utilization Management (UM) cases in our organization
  • Advise other physician reviewers and attend daily calls with health plan teams
  • Coordinate care for patients
  • Establish 2-3 cases a day for each market covered (up to 6 markets)
  • Ensure attendance on all health plan and local calls
  • Participate in Process and Quality improvement in Delegated Utilization Management

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 - Ophthalmology
  • Two (2) years’ experience in Hospital medicine preferred
  • At least one (1) year of utilization review experience preferred

Benefits

Comp & perks
  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible working arrangements
  • Professional development opportunities
  • Bonuses