Prime Therapeutics

Physician Clinical Reviewer – Ophthalmology

Prime Therapeutics

part-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $91 - $154 per hour

About the role

  • Review service requests for medical necessity
  • Interact with physicians and other healthcare professionals
  • Ensure compliance with URAC and NCQA guidelines
  • Document communications with medical staff
  • Participate in ongoing training and testing

Requirements

  • Education Level DO, MBBS, MD
  • 5+ years of clinical experience
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship
Benefits
  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development
  • Bonuses
Applicant Tracking System Keywords

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

Soft Skills
communicationinterpersonal skillsdocumentation
Certifications
DOMBBSMD