West Sacramento, California, 95605
Job description
**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.
STEMHUNTER is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
