Pays $152k-$207k — $78k below the General Medicine market median of ~$285k (131 jobs)
Prior Approval Reviewer (Physician)
About the Role
Full-time Physician Reviewer for Illinois state government. Monday-Friday 8:30-5. Salary $152K-$207K. Springfield, IL.
Join State of Illinois as a Prior Approval Reviewer (Physician) – Monday-Friday in Springfield, Illinois.
Benefits & Compensation
- Salary: $152K - $207K
- Health, Life, Vision, and Dental Insurance
- Pension Plan
- Paid Parental Leave
- Deferred Compensation Program
- 12 paid Sick Days annually
- 10 paid Vacation Days first year (up to 25)
- 3 paid Personal Days annually
- 13-14 paid holidays annually
Work Schedule
- Full-Time position.
- No weekends required.
- Flexible scheduling available.
This position offers weekends off. Work with State of Illinois in Springfield, Illinois.
Key Responsibilities
This role serves as a specialized physician reviewer providing expert medical/clinical, consultative, program, and policy advisory services related to specialized medical equipment and services to staff. Duties include convening meetings to develop system changes or policy decisions impacting medical services and participating in developing medical criteria options for program coverage.
Requirements
The minimum qualification requires an Illinois license to practice medicine, along with specialized experience in making clinical prior approval decisions, working with complex medical data, and familiarity with medical coding systems like ICD-10CM and CPT. Candidates also need experience communicating with medical providers regarding billing codes and utilizing Medical Management Information Systems (MMIS).
Qualifications
- Experience
- 2+ years of experience
Key Skills
General Medicine — Physician Career Context
State of Illinois holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 73/100, 37 active listings.
The cost-of-living index for Illinois is 100.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$180k midpoint carries the purchasing power of roughly $180k in an average-cost state. 62.6% of Illinois clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Position Insights
AI ANALYSISThis role scores 3.9/10 on work-life balance for General Medicine roles.
Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...
Benefits analysis: Compared to 131 similar roles, this listing's benefits package ranks...
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