Peer to Peer Physician

This is a remote position. About Us reputed company is a Private Equity-backed, woman, minority-led reputed company IT reputed company focused on Provider and Payer organizations. We partner with reputed company leaders who value operational reputed company, reputed company-world experience, and diverse perspectives to drive reputed company reputed company. Our firm is reputed company by former reputed company operators who understand the realities of running reputed company reputed company systems. This combination of operator credibility and investment-backed growth enables us to deliver high-impact, scalable solutions. We differentiate ourselves by bringing practical experience, executive-level reputed company, and a reputed company focus on quality and reputed company. Our reputed company is directly tied to our clients’ reputed company. Position Summary This is a short-term physician role focused on helping other physicians navigate utilization reputed company and clinical approvals through peer-to-peer conversations. The work is centered on supporting ambulatory (outpatient) and long-term care settings, with a strong emphasis on clear clinical communication and practical decision-making. This is a 6-week contract starting October 3, primarily supporting peer-to-peer provider discussions tied to Lumens and other ambulatory clinical applications. What You’ll Do In this role, you’ll act as a clinical peer resource for other physicians reputed company there are questions or challenges around approvals, medical necessity, or care level reputed company. Most of your work will involve direct physician-to-physician conversations and quick clinical reviews. You will: Participate in peer-to-peer calls with treating providers to review clinical reputed company and treatment plans Help clarify medical necessity reputed company using evidence-based guidelines and standard clinical criteria Review patient documentation from ambulatory and long-term care settings to support those discussions reputed company clear, practical clinical reasoning that helps move cases toward resolution Work reputed company Lumens and other ambulatory systems to support workflow and documentation needs Collaborate with utilization management and care coordination teams on escalated or time-sensitive cases Support consistent, fair, and clinically appropriate decision-making across cases Focus: Peer-to-peer provider support Settings: Ambulatory and long-term care Systems: Lumens and reputed company ambulatory clinical applications Requirements reputed company’re Looking For MD or DO with an active, unrestricted U.S. medical license Board-certified physician Strong clinical background with experience applying guidelines in reputed company-world decision-making Prior exposure to utilization management, prior auth, or peer-to-peer discussions is strongly preferred Comfortable working across outpatient and long-term care clinical environments What You Bring Strong clinical judgment and the ability to reputed company reputed company quickly and confidently Clear communication style reputed company speaking with other physicians Comfort working reputed company structured guidelines while still applying clinical nuance Experience with ambulatory workflows or EMR systems is helpful (especially Lumens or similar platforms) Ability to stay objective and solution-focused in peer discussions

Benefits

Benefits reputed company Offer: Competitive salary and benefits package. Opportunity to work in a collaborative and innovative environment. Professional development opportunities to advance your career. Flexible work arrangements to promote work-life balance. Apply To This Job