Senior Physician Advisor – P2P Medical Reviewer

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harris jones staffing recruitingEagan (MN)

SENIORITY

Senior

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About the role

HJ STAFFING is seeking two Physician Advisors – Peer-to-Peer (P2P Medical Reviewers) to conduct clinical discussions with treating providers regarding utilization management determinations. You will apply Medicare/CMS requirements, health plan policies, and clinical judgment to determine appropriate levels of care and medical necessity, supporting timely, evidence-based decisions. Responsibilities include leading P2P reviews, evaluating cases, applying regulatory criteria, collaborating with

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