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Physician Part Time - Salary

Company

Cambia Health Solutions

Address , Portland
Employment type PART_TIME
Salary $196,000 - $319,500 a year
Expires 2023-11-28
Posted at 8 months ago
Job Description
Physician Part Time - Salary
Remote in ID, OR, WA, UT
Eligibility for benefits are determined by number of hours worked.

Primary Job Purpose
Applies medical expertise to help ensure our members receive quality, cost effective clinical care.
General Functions and Outcomes
  • May Identify and communicate new opportunities in utilization management, provider contracting or other areas that would enhance outcomes and the reputation of the organization.
  • May collaborate with medical policy team to help develop robust, evidenced-based policies.
  • Ensures ethical decision making in compliance with contractual arrangements, regulations and legislation.
  • May provide clinical input on case management reviews working closely with the CM clinical staff.
  • Stays abreast of industry, medical and technology trends. Identifies and communicates new opportunities that would enhance outcomes and the reputation of the organization.
  • Provides clinical expertise and coordinates between internal clinical programs and providers of care to improve the quality and cost of care delivered to health plan members.
  • Responsible for discussing review determinations with providers who request peer-to-peer conversations.
  • Promotes provider understanding of utilization management and quality improvement policies, procedures and standards.
  • Conducts peer clinical review for medical necessity on utilization management authorization requests.
  • Supports internal communication or training that ensures service is provided to members and providers by a well-trained staff.
Minimum Requirements
  • Detail-oriented with orientation to the application of data in managing health and quality outcomes.
  • Demonstrated ability to effectively lead and engage in a constructive manner with others.
  • Strong communication, influencing and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes.
  • Demonstrated ability to effectively build relationships, demonstrate empathy and work as part of a team.
  • Ability to effectively utilize systems and technology
  • Proven ability to develop and maintain positive working relationships with colleagues.
Normally to be proficient in the competencies listed above:
MD or DO degree, with at least 3-5 years clinical experience or equivalent combination of education and experience. Prefer at least 2 years medical utilization management experience.
Required Licenses, Certifications, Registration, Etc.
Current or previously licensed Physician with an MD or DO degree. If doing medical determinations, must have an active, unrestricted license to practice medicine in one or more states or territories of the United States. Board Certification required, in primary care specialties preferred. Qualification by training and experience to render clinical opinions about medical conditions, procedures, and treatments under review.
#LI-Remote
The expected hiring range for a Physician is $208,500 - $282,500 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 25% . The current full salary range for this role is $196,000 - $319,500.
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:
  • Up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
  • Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
  • Up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.
  • Medical, dental, and vision coverage for employees and their eligible family members
  • Paid time off varying by role and tenure in addition to 10 company holidays
  • Annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
  • One-time furniture and equipment allowance for employees working from home
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our
Privacy Policy
. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our
Careers
site.