Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Blank StreetFull Time
Expert & Leadership (9+ years)
Aberdeen, South Dakota, United States
Key technologies and capabilities for this role
Common questions about this position
This information is not specified in the job description.
The position is located at Avera Medical Group Orthopedics-Aberdeen and follows a Monday-Friday schedule from 8:00am-5:00pm, 80 hours every 2 weeks, with occasional weekends, holidays, and call responsibilities on a rotating basis among the APP group.
Candidates must be licensed and qualified to practice in the state of job assignment upon hire, hold Federal Drug Enforcement Admin certification, and be Certified Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA) upon hire; the role also serves as first assist in the OR.
This role is part of a multidisciplinary team built with compassion and the goal of Moving Health Forward, emphasizing collaboration with physicians and staff, community involvement, and a customer-focused approach to patient care.
Strong candidates demonstrate expertise as a practitioner, consultant, educator, and health professional, with skills in assessing, diagnosing, treating patients, performing procedures, collaborating with physicians, providing health education, and ensuring quality, ethical, cost-effective care.
Pharmacy Benefit Management services provider
Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.