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ChenMed

Licensed Physician Reviewer – Infectious Disease

ChenMed

Physician Reviewer managing Utilization Management cases in a remote setting. Advising physician reviewers and coordinating patient care with healthcare teams.

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 Utilization Management and clinical decision-making, with a strong foundation in Internal Medicine or Family Practice. Proficient in communication and organizational skills, ensuring effective collaboration across health plan and local calls.

Highest-signal resume keywords
Board Certification In Infectious DiseaseUtilization Review ExperienceHospital Medicine ExperienceAnalytical And Deductive Reasoning SkillsProficient In Microsoft Office

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Internal MedicineFamily PracticeUtilization ManagementClinical Decision-MakingInfectious Disease
Soft Skills
Analytical SkillsProblem-Solving SkillsCommunication SkillsOrganizational SkillsJudgment
Tools & Technologies
Microsoft OutlookMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint
Certifications & Qualifications
Valid Medical LicenseBoard Certification In Infectious Disease
Industry Keywords
Hospital MedicineUtilization ReviewPrimary Care ProviderSkilled Nursing FacilityHealth Plan

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 Infectious Disease
  • 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