Senior Physician Reviewer - Utilization Management
ChenMed LLC
ChenMed LLC is seeking a Physician Reviewer to lead Utilization Management (UM) cases across multiple markets. The role includes coordinating with health plans and local teams, attending daily calls, and guiding other physician reviewers in a growing delegated UM program. The ideal candidate holds an MD with Internal Medicine or Family Practice training, a Pain Management board, and 1–2 years in hospital medicine or utilization review. Strong analytical and communication skills are essential. #J-18808-Ljbffr ChenMed LLC
$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote role...SeniorRemote jobWork from home$219k - $286.9k
...Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind...SuggestedFull timeLocal areaRemote workWork from homeHome officeWeekend work- A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...SuggestedRemote jobFull timeCasual workMonday to Friday
$140 - $145 per hour
Oscar is hiring a Physician Reviewer to join our Utilization Management Team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote role is open...SuggestedRemote jobHourly payWeekend work- ChenMed LLC is seeking a Physician Reviewer to lead delegated utilization management (UM) reviews across multiple markets. You will establish daily case counts, attend essential calls with health plans, advise other reviewers, and participate in ongoing process and quality...SuggestedRemote job
- A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating to...Remote job
- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
- ChenMed LLC seeks a physician with strong clinical and UM background to cover delegated utilization management across multiple territories. The role requires residency in Internal... ...in hospital medicine, with utilization review experience preferred. You will coordinate with...Remote job
- ChenMed LLC is seeking a Physician Reviewer to serve as the primary physician reviewer for Utilization Management (UM) cases across multiple markets. This role includes advising other reviewers, attending health plan calls, and coordinating care with local teams to support...Local area
- Liberty Dental Plan in the United States is seeking a Senior Staff Dentist to lead utilization management and clinical review, mentor staff, and support quality initiatives across Commercial, Medicare Advantage, and Medicaid programs. The role reports to a State Dental...Senior
- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization... ...Board Certification to conduct Utilization Reviews. This is a fully remote, non... ...-friendly portal and streamlined case management Full onboarding and ongoing support...Price workExtra incomeFor contractorsRemote workFlexible hours
$130 - $145 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving...Hourly payFull timePart timeRemote workWork from homeHome office- ...Senior Staff Dentist, Utilization Management (Remote) NY Fully Remote New York - NY Help Shape the Future of Oral Health Care as a Senior Staff Dentist... ...for Utilization Management (UM) and Utilization Review (UR) programs. This role ensures timely, accurate, and...SeniorRemote jobWork at officeImmediate startFlexible hours
$223.2k - $262.7k
...an impact?West Monroe is seeking a Senior Principal to lead our Distributed Energy Resource Management Systems (DERMS) capability within the Energy & Utilities practice. This role is purpose-... ...****@*****.*** review our current policy regarding use of...SeniorLocal areaImmediate startFlexible hours- Archinect seeks a full-time peer-review specialist to evaluate apartment alterations in... ...and the Code. You will collaborate with Management, Boards, and engineering consultants to... ...codes. Ideal candidates are mid‑career to senior, with an architecture or engineering...SeniorFull time
$200k - $250k
...Guggenheim Securities (“GS”) is seeking an exceptional Senior Associate or Junior Vice President to join its Power, Utilities and Renewables Investment Banking team in New... ...opportunities. Lead day‑to‑day project management and oversee execution on a range of advisory...SeniorWork at office$195k - $215k
Job DescriptionDewberry’s growing Commercial Utilities - Energy/Renewables Group is looking for a Senior Project Manager to play a key role in delivering complex, high‑impact infrastructure projects. You’ll work alongside multidisciplinary teams to provide full‑service...SeniorLocal area$203.8k - $239.8k
...impact? West Monroe is seeking a Senior Principal to lead our Distributed Energy Resource Management Systems (DERMS) capability within the Energy & Utilities practice. This role is purpose-built... ...****@*****.***. Please review our current policy regarding use...SeniorLocal areaImmediate startFlexible hours- Quantiphi, Inc. in the Houston area is seeking a Senior Client Partner for Power, Utilities & Energy to lead mega-deal origination and strategic advisory. You will drive end-to-end engagements and guide a portfolio in AI-driven transformations for utilities. You will own...Senior
- BeiGene, Ltd. is seeking a Senior Manager QC Microbiology in Hopewell, NJ. This role involves managing environmental monitoring and utilities sampling programs while ensuring compliance with FDA/EU regulations. The ideal candidate will have extensive experience in Quality...Senior
$150k - $175k
A leading executive search firm is seeking a Utility Solutions Sales Director to drive market penetration within the utility sector. This remote position requires extensive travel and strong sales experience in electrical products or related solutions. The ideal candidate...SeniorRemote job- Judi Health is seeking a healthcare utilization management supervisor in New York to lead a team of prior authorization technicians in a hybrid setting with local ties to Denver, Charlotte or NYC. You will drive staffing, workflows, and quality in a fast-paced startup...SeniorLocal area
- DuCharme, McMillen & Associates, Inc. is seeking a property tax professional to manage complex returns for utility and energy clients. You will oversee centralized filings, advise on asset classifications, and lead a multidisciplinary team across state lines. The role...SeniorRemote job
- Ford Energy is seeking a Sales Manager to drive growth of its grid-scale and commercial Battery Energy Storage... ...proposals, and manage customer interactions with utilities, data centers, and IPPs. You will work with senior leadership to secure large MSAs, shape product...Senior
- ChenMed LLC is seeking a Physician Reviewer to lead Utilization Management reviews and coordinate with health plans and local teams. The role involves directing... ...within delegated UM and healthcare delivery for seniors. ChenMed emphasizes mission-driven care, competitive...Remote jobLocal area
- Columbia County Georgia is seeking a Foreman II for Water Utility Special Projects. This role involves managing complex job sites, supervising subordinates, and ensuring the maintenance of water distribution systems. Candidates must have a high school diploma or GED, a...Senior
- ...healthcare services company is seeking a full-time remote Utilization Management Physician Reviewer. The role requires a board-certified physician to... ...Responsibilities include collaboration with the Medical Director and senior management, communication with clients, and quality...Remote jobFull time
- ChenMed LLC is seeking a Physician Reviewer to lead Utilization Management (UM) case reviews across multiple markets. You will advise peers, participate in daily calls with health plans, and coordinate patient care with local teams while contributing to process and quality...Local area
- St. Luke's University Health Network seeks a Senior Care Physician in Sellersville, PA, to provide general medical services in both practice and hospital settings. The role emphasizes high-quality, cost-effective care, with participation in quality and performance initiatives...Senior
$110.7k - $218.3k
...role ends 09/21/2026.Work you’ll do As a Senior Consultant on the Capital Projects team,... ...with confidence Help organizations plan, manage and control project cost and schedule through... ...of experience working within the power utilities and or/renewable energy industry with...SeniorContract workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Physician Reviewer - Utilization Management. Be the first to apply!
- doctor work from home New York, NY
- ent physician New York, NY
- physician-med-peds New York, NY
- smile doctors New York, NY
- sound physicians New York, NY
- physician medical doctor New York, NY
- resident doctor New York, NY
- physician-geriatric medicine New York, NY
- doctor of optometry New York, NY
- drug safety physician New York, NY



