Clinical Peer Reviewer - Utilization & Compliance Job at Health First, Nashville, TN

  • Health First
  • Nashville, TN

Job Description

Healthfirst is seeking a Medical Peer Reviewer to consult on medical necessity in utilization management and ensure compliance with internal and external regulations. The role involves assessing requests for authorization and collaborating with various departments to manage clinical judgements efficiently. The position requires a Licensed M.D. or D.O. with Board Certification. Healthfirst offers a competitive salary range of $122,907 - $188,020 and a comprehensive benefits package including medical, dental, and vision coverage. #J-18808-Ljbffr

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