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AmeriHealth is currently recruiting physicians from a
number of medical specialties to provide us with expert
clinical input during the development and maintenance
of our medical coverage policies. Medical policies are
research-based documents that communicate coverage
of medical services for our members, including medical
devices, injectable and infusible drugs and biologics, and
medical and surgical procedures. In addition, medical
policies provide guidelines for obtaining benefits and
reimbursement in accordance with the member?s
benefits plan.
As a consultant, you would be responsible for evaluating
and providing feedback on the scientific evidence and
local standards of care addressed in our medical policies.
You would evaluate proposed medical policies based
on your areas of expertise and be paid a consulting fee.
Your contributions could significantly impact the medical
policies that AmeriHealth establishes, which in turn affect
the delivery of health care in our region.
At this time, AmeriHealth is seeking physician consultants
in the following specialties:
- medical oncology
- ophthalmology
- orthopedic surgery
- pain management
- radiation oncology
Qualifications
To qualify as a consultant, you must:
- maintain board certification in each specialty for
which you wish to consult;
- maintain an active clinical practice in each specialty
for which you wish to consult;
- understand and agree to our conflict of interest
statement, which is available upon request prior
to participation and is reviewed and reaffirmed
annually;
- understand and agree to our confidentiality
statement;
- maintain a high ethical standard, evidenced by the
absence of any Amerihealth investigation into personal or
group claims practices.
Become a consultant
If you meet these criteria and are interested in
sharing your expertise as a consultant, please
submit your curriculum vitae by email to
AHMedicalPolicy@amerihealth.com or by mail to:
George S. Fenimore, DNP, RN
Director, Medical & Claim Payment Policy
AmeriHealth
1901 Market Street, 29th floor
Philadelphia, PA 19103
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