Utilization Review Physician – New York Hybrid

Job overview

The Utilization Review Physician – New York Hybrid role is hybrid in New York, NY, with four days per month onsite; compensation is not specified. The physician supports a managed care insurance plan and serves as its clinical lead. The role administers medical services using evidence-based policies and clinical guidelines to support appropriate, cost-effective care for plan members. It also guides cost-of-care, clinical initiatives, and population health outcomes while working with the state plan president, regulators, providers, and market facilities.

What you'll do

• Administer medical services for a managed care health plan using evidence-based medical policies and clinical guidelines
• support appropriate and cost-effective care
• guide cost-of-care, clinical initiatives, and population health management and outcomes
• work with the state plan president and interface with regulators, providers, and market facilities.

What we're looking for

Skills & competencies

utilization review physician

new york ny

hybrid

managed care

clinical lead

evidence-based guidelines

population health

cost of care

new york medical license

board certified

10 years post-residency

four onsite days per month

Work arrangement

• Weekend coverage required

Why this role

Requires board certification through the American Board of Medical Specialties or American Osteopathic Association, an unrestricted New York medical license, and at least 10 years of clinical practice after residency.

About the employer

Vivo HealthStaff is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.