New Mexico-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties

United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical ReviewIndustries

Requirements

Candidates must hold an active New Mexico License and possess a medical degree (M.D. or D.O.) with board certification in one of the following specialties: Endocrinology, Gastroenterology, Dermatology, Neurology, Psychiatry, Rheumatology, Pediatrics, or Ophthalmology.

Responsibilities

The Physician Reviewer will utilize clinical expertise to review insurance appeals and prospective and retrospective claims, providing an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies and evidence-based guidelines. They will ensure clear and concise rationales with adequate supporting documentation, identify and utilize relevant criteria and literature, and provide timely reports while adhering to due dates and maintaining proper credentialing and state licenses.

Skills

Medical Record Review

Insurance Appeals

Clinical Expertise

Evidence-Based Guidelines

Medical Necessity Interpretation

Client-Specific Criteria

Endocrinology

Gastroenterology

Dermatology

Neurology

Psychiatry

Rheumatology

Pediatrics

Ophthalmology

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Flexible Work Hours

Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.

Subscription program may not resonate with all customer segments, risking dissatisfaction.

Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.

Small, cost-effective locations reduce overhead and allow competitive pricing.

Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.

Subscription model provides steady revenue and enhances customer loyalty.

Partnerships with lifestyle brands boost brand visibility and customer engagement.

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