Utilization Management Physician Reviewer

What you’d do

Review acute, post-acute and pre-service authorization requests, document decisions in plain language, and apply evidence-based criteria and clinical reasoning to make utilization management determinations in collaboration with Oak Street Health care teams. Full time. Found on the employer's careers page on Oct 21, 2026. Apply through the link.

You’ll need

• Physician (MD/DO) clinical background
• Utilization management review experience
• Knowledge of CMS and MCG guidelines
• Compliance with legal, regulatory and accreditation requirements