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Remote Utilization Management Physician

CVS Health

Oak Street Health seeks a Utilization Management Physician Reviewer to ensure timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role collaborates with internal teams to promote quality care, adherence to CMS/MCG guidelines, and regulatory compliance. The ideal candidate is board-certified with an unrestricted US license, 3–5 years in primary care, and a strong foundation in managed care and patient advocacy.

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Vacancy posted 2 days ago
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