Family Practice - Without OB Physician
Vivo HealthStaff
San Diego, CA, 92101, USA
San Diego, CA, 92101, USA
- Healthcare
- Full-time
- family practice
- physician reviewer
- managed care
A Family Practice Physician without OB responsibilities providing full-time medical management and utilization review within a health plan. The role involves ensuring quality patient care, cost-effective practices, and supporting Health Services departments including Medical Management, Provider Relations, Quality Improvement, and Pharmacy. Requires an M.D. degree, California licensure in progress, and experience in managed care and prior authorization processes.
Vivo HealthStaff is searching for a Physician for a health plan based in San Diego, CA. This is a full-time position with competitive benefits.
The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in the most cost-effective, appropriate, and professional manner, which meets the expressed needs of patients and professional colleagues. The Physician Reviewer will be a part of the Health Services Department. This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement, and Pharmacy. POSITION REQUIREMENTS:- M.D. Degree
- License to practice in California must be in progress prior to the start date
- Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review
- Knowledge of physician social and political behavior and managed care philosophy




