Primary Care Medical Expert
5 days ago
**Company Overview:** TulaRay partners with clients to create staffing solutions that meet unique organizational needs. Our services are designed to reduce administrative burdens, protect your brand, and improve assignment time-to-fill.
**Job Title:** Primary Care Medical Expert
We are seeking a highly skilled Primary Care Medical Expert to join our team at TulaRay. As a Primary Care Medical Expert, you will play a crucial role in reviewing medical services for Medicaid recipients and making determinations regarding medical necessity, place of service, appropriateness, compensability, and quality of care.
Responsibilities:
* Conduct prospective, concurrent, and retrospective reviews of adult and pediatric inpatient and outpatient medical cases covered by the Department
* Make recommendations regarding the medical necessity of services provided to Medicaid recipients
* Analyze medical records and identify potential issues or concerns
* Develop and implement effective solutions to address identified issues
**Estimated Salary:** $100,000 - $130,000 per year
**Requirements:** To be successful as a Primary Care Medical Expert, you must have a strong background in primary care medicine and experience with medical record review. You should also possess excellent analytical and communication skills, as well as the ability to work independently and as part of a team.
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