Who can apply: US-based role. The employer has not said which states are eligible — confirm before applying.
Location as listed by the employer: “Remote - USA”
Apply on Clover Health's site ↗
Opens the employer's official application page.
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About this role
Clover Health is hiring for a Physician Advisor – (P2P) Medical Reviewer (1099 Contractor) role (contract). See the official posting for full details.
Requirements
- MD or DO from an accredited medical school.
- Current, unrestricted U.S. medical license.
- Board certification in an appropriate clinical specialty; Internal Medicine, Family Medicine, Emergency Medicine, or another specialty with broad medical experience preferred.
- Minimum of 5 years of clinical practice experience preferred.
- Experience with utilization management, medical necessity review, physician advisory services, payer medical review, or hospital case management strongly preferred.
- Experience with Medicare Advantage and CMS medical necessity/coverage requirements preferred.
- Familiarity with MCG, InterQual, CMS coverage policies, and the Two-Midnight rule preferred.
- Strong physician-to-physician communication skills and the ability to manage difficult or disputed clinical discussions professionally.
Summarized from the employer's posting — check the full posting for every requirement.
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