oakstreethealth
The Utilization Management Physician Reviewer at Oak Street Health provides accurate and timely coverage determinations for inpatient and outpatient services using clinical judgment and utilization management criteria. The role ensures medically appropriate care is recommended to patients and care teams, coordinating with internal and external stakeholders to drive efficient care delivery. This position requires maintaining knowledge of current CMS and MCG guidelines while ensuring compliance with regulatory and accreditation requirements.
Headquarters
Chicago, Illinois, United States
Company Size
5001-10000 employees
Founded
2012
Oak Street Health is a primary care provider and health network focused on helping adults on Medicare stay healthy through tailored, value‑based care. It operates neighborhood primary care centers staffed by multidisciplinary teams that deliver longer, preventive‑focused visits, care coordination, and services such as transportation and in‑home follow‑up. Oak Street leverages data and team‑based workflows, plus in‑person and virtual care options, to improve outcomes and reduce hospital use. The company maintains a growing national footprint of centers serving older adults across multiple U.S. states.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for oakstreethealth.
49% above the average for this role