The Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and appropriate utilization in the most cost-effective, appropriate and professional manner, which meets the expressed needs of patients and professional colleagues.

The Physician Reviewer will be a part of the Health Services Department. This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement and Pharmacy.

If you like the sound of what it means to be a new team member, and you meet the qualifications above, please submit your resume. We look forward to hearing from you!

This position is located in Kearny Mesa, San Diego County

 Hours: 8-hour shift: 8:00 am – 5:00 pm, weekends as needed.

Required Skills and Qualifications

• M.D. Degree
• License to practice in California must be in progress prior to start date
• Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review
• Knowledge of physician social and political behavior and managed care philosophy
• Effective communication skills
• Ability to work collaboratively with medical leadership, Administration, medical staff, nurses, and other prominent hospital administration.

Preferred Skills and Qualifications

Security Clearance Required: No

Visa Candidate Considered: No

Compensation

Base Salary - $157,410 to $248,809

Full-time

Benefits - Full

Relocation Assistance Available - Possible for ideal candidate

Commission Compensation - No

Bonus Eligible - No

Overtime Eligible - No

Interview Travel Reimbursed - No

Candidate Details

7+ to 10 years experience

Seniority Level - Mid-Senior

Management Experience Required - Yes

Minimum Education - Doctorate Degree

Willingness to Travel - Occasionally

• Must have a Board Certification in Internal Medicine or Family Medicine