**Job Title: Medical Reviewer**
Conduct comprehensive physician-level evaluations of claims, requests for treatment authorization, and appeals to guarantee clinical precision. Work together with multidisciplinary teams to aid in the creation of medical policies and ensure adherence to regulatory standards. A valid, active physician license from the State of California in good standing is required. Applicants must possess a minimum of three years of experience as a medical consultant or have comparable experience in MMIS or drug utilization review.
Gainwell Technologies LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
