Licensed Physician Reviewer

Medical Care of Boston Management Corporation(15 days ago)

RemoteFull TimeMedior$105,221 - $141,138 (estimated)Healthcare

About this role

The Physician Reviewer at ChenMed is responsible for reviewing utilization management cases, advising other reviewers, and participating in process improvements to ensure quality care for seniors. The role involves coordinating with health plan teams and local providers across multiple territories.

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Required Skills

Utilization Management
Care Coordination
Quality Improvement
Primary Care
Healthcare Policy

About Medical Care of Boston Management Corporation

cms.gov

The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that administers the nation's major healthcare programs, including Medicare and Medicaid. CMS is responsible for overseeing the healthcare system in the United States, ensuring access to high-quality healthcare services and improving health outcomes for its beneficiaries. Through its initiatives and regulations, CMS aims to provide a more transparent healthcare system and reduce costs while enhancing care delivery across the nation.

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