Physician Reviewer - Utilization Management

The Physician Reviewer - Utilization Management role at Oscar involves determining the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. The position requires conducting timely peer-to-peer discussions with treating providers and ensuring compliance with all applicable laws and regulations. This remote role is open to candidates residing in the United States and reports to the Associate Medical Director, Utilization Management.