A company is looking for a Pulmonology Utilization Reviewer (Independent Contractor).
Key Responsibilities Conduct independent utilization reviews of medical records Engage in peer-to-peer conversations as needed Adhere to HIPAA regulations and company policies regarding patient confidentiality Required Qualifications Medical Degree (MD or DO) Current unencumbered state medical license Board Certification in Pulmonology Minimum of 5 years of clinical experience, including residency Flexible daytime availability for discussions