Licensed Physician Reviewer – Pulmonology

ChenMed

Licensed Physician Reviewer handling Utilization Management cases remotely. Improving healthcare quality and advising physician reviewers in an expanding organization.

Posted 7/25/2026full-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 and clinical decision-making, with a strong foundation in Internal Medicine or Family Practice. Holds Board Certification in Pulmonology and possesses experience in Hospital Medicine and utilization review.

Highest-signal resume keywords

Board Certification In PulmonologyUtilization Review ExperienceInternal Medicine ResidencyFamily Practice ResidencyHospital Medicine Experience

ATS Keywords

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Applicant Tracking System Keywords

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Certifications & Qualifications

Valid Unrestricted Medical LicenseBoard Certification In Pulmonology

Industry Keywords

Utilization ManagementPrimary Care ProviderSkilled Nursing FacilityHealth PlanPhysician Review

About the role

Key responsibilities & impact

Provides Delegated UM 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
Board Certification in - Pulmonology
Two (2) years’ experience in Hospital medicine preferred
At least one (1) year of utilization review experience preferred

Benefits

Comp & perks

Great compensation
Comprehensive benefits
Career development and advancement opportunities
Great work-life balance
Opportunities to grow