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. 155583 Starting at $214,240 Annually HMH is committed to pay equity and transparency for our team members. 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 rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: + Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. + Experience: Years of relevant work experience. + Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. + 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 organization. + Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits. 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.