Responsibilities: Conduct UM reviews across various specialties such as Advanced Imaging, Audiology, Chiropractic, Dental, DME, Home Health, Hospice, Inpatient, Mental Health (including Psychiatry), MRO, Occupational Therapy, Optometry, Outpatient, Pharmacy, Physical Therapy, Physician, Podiatry, Rehabilitation, Speech Therapy, Transplant, and Transportation. Ability to participate as a team member, fostering collaborative decision-making among leadership, committees, teams, or workgroups of diverse composition.