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Prime Therapeutics logo
Prime Therapeutics

Established in 1988, Prime Therapeutics helps people get the medicine they need to manage their health. This company manages pharmacy coverage for patients thro

Physician Clinical Reviewer – Rheumatology

Location

United States

Posted

100 days ago

Salary

$9.1K - $15.4K / hour

Seniority

Senior

Postgraduate Degree5 yrs expEnglish

Job Description

Physician Clinical Reviewer – Rheumatology

Prime Therapeutics

• Provides timely medical review of service requests • Interacts with physicians and health plan members as needed • Reviews clinical determinations that cannot be made initially • Provides clinical rationale for appeals and ensures proper documentation

Job Requirements

  • DO, MBBS, or MD degree required
  • 5+ years of clinical experience required
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off

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