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CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Doctor/Physician to join our growing team.

Job Responsibilities:

• Responsible for Utilization Management medical necessity reviews within specialty.

• Serve as a consultant for clinical topics such as quality of care concerns, evidenced based medical practice, or industry standard processes.

• Draft medical necessity review criteria in the event a service is not covered under nationally recognized medical necessity review criteria.

• Serve as a clinical consultant.

• Available to clinical reviewers for individual consultation on a case-by-case basis.

Requirements

• Shall have a minimum of five (5) years active practice experience, providing direct clinical care to patients as recent as within the past three (3) years.

• Are Doctors of Medicine, Osteopathic Medicine, Dentistry, Podiatry, or other Allied Health Care PractitionersHolds an active, unrestricted license or certification to practice medicine or a health profession in a state or territory of United States

• Must be Board Certified in a specialty recognized by the American Board of Medical Specialties, the Advisory Board of Osteopathic Specialists, the American Dental Association (ADA), the American Board of General Dentistry (ABGD), the American Board of Podiatric Surgery(ABPS), or the American Board of Podiatric Medicine (ABPM)

• Must be located within the United States or one of its territories when conducting an internal appeal or external review

· 5+ years of clinical practice, required

• At least 1 year experience in completing medical necessity reviews, required

Preferred Qualifications/Experience:

• Prior health plan or hospital experience in utilization review is desirable

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Compensation

The pay range for this position is $125.00 - $150.00

“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.