Remote Pediatric Neurology Physician Reviewer

A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Pediatric Neurology. This remote position requires a DO, MBBS, or MD and over 5 years of clinical experience. Responsibilities include reviewing clinical cases, discussing determinations with physicians, and providing clinical rationale for appeals. The role emphasizes adherence to utilization management guidelines, ensuring accurate documentation, and potential participation as a Medical Director for selected plans. Competitive pay ranges from $90.87 to $154.33 based on experience. #J-18808-Ljbffr