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The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care, as outlined in the responsibilities below.

Education, Knowledge, Skills and Abilities Required:

1. Medical degree from a recognized Medical School.

2. Completion of a residency program from an accredited medical institution.

3. Minimum of 3 years medical practice experience.

4. Ability to effectively communicate with professional peers, department members and all levels of administration.

Education, Knowledge, Skills and Abilities Preferred:

Licenses and Certifications Required:

1. Medical Doctor License.

Licenses and Certifications Preferred:

1. Maintains at least one Medical Board Certification.

2. At least two years experience in Utilization Review processes including knowledge of regulatory requirements relative to performing status determinations and Peer to Peer denial interactions with medical directors of third-party payers.

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HMH is committed to pay equity and transparency for our team members. The minimum base salary for this position is $214,240. The posted rate of pay in this job posting is a reasonable good-faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting base salary is provided for informational purposes only and is not a guarantee of a specific offer. The base compensation determined at the time of the offer may be different than the posted base salary based on a number of non-discriminatory factors, including but not limited to:

**Specialization** : Area of specialization and sub-specialization.

**Labor Market Data** : Compensation is benchmarked against market data to ensure competitiveness.

**Experience** : Years of relevant experience in the areas of specialization and sub-specialization.

**Leadership** : Relevant experience as a department chair or chief, practice group leader, or other leadership roles.

**Education and Certifications** : Degrees attained, residencies, fellowships, board certifications, research, and publications.

**Productivity** : Levels of productivity, quality and patient satisfaction.

**Skills** : Demonstrated proficiency in relevant skills and competencies.

**Geographic Location:** Cost of living and market rates for the specific location.

**Internal Equity:** Compensation is determined in a manner consistent with compensation ranges for similar roles within the specialty and/or sub-specialty.

**Budget and Grant Funding:** Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

In addition to our compensation for full-time and part-time (20+ hours/week) positions, HMH offers a comprehensive benefits package, including health, dental, vision, tuition reimbursement, and retirement benefits. The final compensation and benefits package will be discussed during the interview process.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.