Clinical Consultant | Physician Assistant | Remote

Employer Industry: Healthcare Services

Why Consider This Job Opportunity
• Salary up to $173,200 annually
• Comprehensive benefits package including equity stock purchase and 401k contribution
• Opportunity for career advancement and growth within the organization
• Flexibility to work remotely from anywhere within the U.S.
• Rewarding work environment that values performance and development
• Chance to impact the lives of millions through improved healthcare experiences

What To Expect (Job Responsibilities)
• Collaborate with and be supervised by the Appeals and Grievances Medical Director to review and adjudicate cases
• Perform individual case reviews for appeals and grievances across various health plans and insurance products
• Communicate appeals decision rationales and benefit interpretations to medical directors
• Actively participate in team meetings focused on process improvement, training, and feedback
• Provide clinical and strategic input to organizational committees and projects

What Is Required (Qualifications)
• Current Physician Assistant/Associate license in the state of residence
• Current Board Certification by the National Commission on Certification of Physician Assistants (NCCPA)
• 5+ years of clinical Physician Assistant practice experience
• Intermediate computer skills: MS Office, Outlook, Word, and Excel
• Ability to work normal business hours from Monday to Friday

How To Stand Out (Preferred Qualifications)
• 1+ years of experience in Utilization Management and Utilization Review processes
• Familiarity with Appeals & Grievances processes
• Experience in claims coding and review
• Experience with project management and facilitating hospital admissions
• Inpatient Physician Assistant experience

#HealthcareServices #PhysicianAssistant #RemoteWork #CareerGrowth #HealthEquity

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