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Catholic Health | Melville, United States | Posted June 10, 2026
Position Overview
DUTIES
Manages physician advisor reports and assists with facilitating UM Committee reviews when applicable.Assists with and reconciles the case status on the PA listSubmits and tracks R1 cases via the portalAssists with assignment of peer-to-peersCoordinates Peer-to-Peer meetings between physicians and payors.Notifies Department Leadership of potential missed timeframes for submission and follow-up on responses and escalates cases as appropriate.Coordinates physician schedulesAssists with UM/Appeals as neededProvides support for ongoing projects as requiredMeets productivity standards.Attends meetings as required and participates on committees as directed. Performs other related duties as assigned or requested. POSITION REQUIREMENTS AND QUALIFICATIONS
Education/Experience
High School Diploma or equivalent2 years college ...