Licensed Physician Reviewer – Neurology

ChenMed

Primary Physician Reviewer overseeing UM cases in a healthcare organization. Collaborating with physician reviewers, health plan teams, and participating in quality improvement initiatives.

Posted 7/25/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $204,761 - $292,515 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Clinical Appropriateness Reviews, with a strong foundation in Internal Medicine or Family Practice and Neurology. Proficient in utilization review processes and effective communication with healthcare professionals.

Highest-signal resume keywords

Board Certification In NeurologyCompletion Of Fellowship In NeurologyUtilization Review ExperienceGraduate From Accredited Medical SchoolProficient In Microsoft Office

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Appropriateness ReviewsInternal MedicineFamily PracticeNeurologyUtilization Review

Soft Skills

Written And Verbal Fluency In EnglishAdvising Physician Reviewers

Tools & Technologies

Microsoft OfficeOutlookExcelWordPowerPoint

Certifications & Qualifications

Board Certification In Residency AreaValid, Unrestricted Medical License

Industry Keywords

Hospital MedicinePrimary Care ProviderSkilled Nursing Facility

About the role

Key responsibilities & impact

Provides Clinical Appropriateness Reviews by covering the specified territories as assigned
Establish 2-3 cases a day for each market covered (up to 6 markets)
Ensures attendance on all health plan and local calls
Calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories
Advises other physician reviewers
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
Completion of Fellowship in Neurology
Board Certification in residency area
Board Certified in Neurology
Two (2) years’ experience in Hospital medicine preferred
At least one (1) year of utilization review experience preferred
Written and verbal fluency in English
Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

Benefits

Comp & perks

Comprehensive benefits
Career development and advancement opportunities
Great work-life balance