Oscar Health
Physician Reviewer - Utilization Management (Part Time)
New York, New York, United States · Part-time
Sponsorship not specified$130k-$145kDetected 9 days ago
Full-Stack DevelopmentCommunication
About the role
- You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.
- Hours: 8am - 5pm in your local time zone.
- Call rotation - 1 weekend every 16 weeks
Responsibilities
- Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
- Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Requirements
- 6+ years of clinical practice
- Learn more about how you can safeguard yourself from recruitment fraud here.
Nice to have
- Licensure in multiple Oscar states
- BC in Cardiology, Radiation/Oncology, or Neurology
Compensation
- The base pay for this role is: $130-$145 per hour.
- Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
Benefits
- Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
- We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
- Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
- Full-time employees are eligible for benefits including:
- medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
- Provide timely medical reviews that meet Oscar's stringent quality parameters.
- Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
- application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
Equal opportunity
- Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation.
- Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
- Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation.
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This listing is sourced directly from Oscar Health's careers page and normalized into a canonical job model.