10 дней назад
Medical Consultant
133 500 - 274 100$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Medical Consultant (Claims Analysis): Providing expert medical analysis of claims files and underwriting applications with an accent on functional capacity assessment, medical opinions, and regulatory compliance. Focus on conducting forensic reviews, consulting healthcare providers, managing high-volume casework, and supporting accurate claims decisions.
Location: Home Worker - US
Salary: $133,500–$274,100 per year
Company
provides employee benefits and service solutions, supporting more than 39 million people through a workforce of 10,000 employees.
What you will do
- Provide timely medical direction, opinions, and reasoned forensic analysis for claims files and underwriting applications.
- Assess diagnoses, treatment plans, prognosis, duration guidelines, and functional capacity using medical and related data.
- Consult with other medical consultants to complete whole-person analyses.
- Contact insureds’ healthcare providers by telephone to gather medical information and clarify functional abilities.
- Refer cases for second opinions when required by guidelines and best practices.
- Manage high volumes of assigned work while maintaining strong turnaround times and supporting team workload goals.
Requirements
- Professional degree: MD, DO, PhD, or PsyD.
- Active, unrestricted US medical license required.
- Physicians must hold board certification in PM&R, Internal Medicine, Occupational Medicine, or Family Practice.
- Minimum of five years of clinical experience in a medical specialty.
- Strong collaboration skills and the ability to work in a fast-paced, team-based corporate environment.
- Ability to mentor colleagues and give and receive constructive, behaviorally based feedback.
Culture & Benefits
- Flexible work environment with an award-winning, inclusive culture.
- Health, vision, dental, short- and long-term disability coverage.
- Paid time off, including paid volunteer time.
- Performance-based incentive plans and career advancement opportunities.
- 401(k) contributions of up to 9.5%, plus mental health support, tuition reimbursement, and student loan repayment options.
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