The Medical Reviewer is responsible for assessing radiology claims, authorization requests for treatments, and relevant medical records to verify alignment with clinical standards and the necessity of medical services. This role involves documenting evaluations and working closely with clinical and operations teams to fulfill healthcare program needs. Applicants should possess a minimum of three years of experience in radiology and maintain an active, unrestricted physician license in California. Strong clinical judgment and the capability to analyze intricate medical documentation are critical for success in this position.
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.
