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UHS of Delaware, Inc. Logo
UHS of Delaware, Inc.

Las Vegas, Nevada

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Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

San Diego, California

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Southern California Permanente Medical Group

Lancaster, California

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Southern California Permanente Medical Group

Palmdale, California

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St. Luke's Health System

Boise, Idaho

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Southern California Permanente Medical Group

Downey, California

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Banner Health

Mesa, Arizona

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Southern California Permanente Medical Group

Los Angeles, California

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Southern California Permanente Medical Group

Carson, California

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Southern California Permanente Medical Group

Baldwin Park, California

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Optum

Seattle, Washington

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Southern California Permanente Medical Group

Panorama City, California

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Southern California Permanente Medical Group

Fontana, California

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AdventHealth

Ocala, Florida

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Physician Reviewer
DescriptionScope: Serves as an expert physician resource and reviewer.REPRESENTATIVE RESPONSIBILITIES???Medical ReviewPerforms medical review activities pertaining to delegated pediatric services including medical review of complex, controversial, or experimental medical services???QualityAssists Medical Director in improving quality and cost-effectiveness of care and service for members and provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, institutional, and accreditation requirements???UtilizationIdentifies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of be


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