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Physician Reviewer, Utilization Management

Job in Hingham, Plymouth County, Massachusetts, 02043, USA
Listing for: Blue Cross Blue Shield of Massachusetts
Full Time position
Listed on 2026-02-01
Job specializations:
  • Doctor/Physician
    Medical Doctor, Healthcare Consultant
Salary/Wage Range or Industry Benchmark: 236970 - 289630 USD Yearly USD 236970.00 289630.00 YEAR
Job Description & How to Apply Below
A leading healthcare company is seeking a Physician Reviewer to evaluate clinical service requests from members and providers. The candidate must hold an MD or DO degree with an active board certification and a valid license to practice in Massachusetts. Responsibilities include making coverage decisions, ensuring compliance with guidelines, and improving care coordination. This full-time role offers a salary range of $236,970 to $289,630, along with comprehensive benefits including insurance and a 401(k).

The company promotes a diverse and inclusive culture.
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