Physician Reviewer - Utilization Management

Oscar Health is seeking a Physician Reviewer to join its Utilization Management team, where you will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote role requires a licensed MD or DO with significant clinical practice experience to provide clinical determinations and conduct peer-to-peer discussions with treating providers. The position offers a competitive base salary, performance bonuses, and comprehensive employee benefits.