Licensed Physician Reviewer – Orthopedics

ChenMed

Physician Reviewer managing Utilization Management cases in a rapidly expanding healthcare organization. Collaborating with teams to improve the care for patients and involve in quality improvement.

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 review processes, with a strong foundation in Internal Medicine or Family Practice. Holds a valid medical license and Board Certification in Orthopedics, ensuring compliance with healthcare standards.

Highest-signal resume keywords

Utilization Review ExperienceBoard Certification in OrthopedicsInternal Medicine or Family Practice ResidencyTwo Years’ Experience in Hospital MedicineValid, Unrestricted Medical License

ATS Keywords

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Applicant Tracking System Keywords

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Certifications & Qualifications

Board Certification in OrthopedicsValid, Unrestricted Medical License

Industry Keywords

Utilization ManagementHospital MedicinePhysician ReviewerHealth Plan CallsCase Establishment

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
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 residency area - Orthopedics
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
advancement opportunities
work-life balance