Remote Medical Reviewer (MD/DO/PA)

Job Summary

A company is looking for actively practicing Physicians and Physician Assistants for remote medical case and peer review roles.

Key Responsibilities

• Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care
• Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria
• Support various case types including utilization review, appeals, and quality of care concerns

Required Qualifications

• Hold an active, unrestricted U.S. license as an MD, DO, or PA
• Board certified in your specialty by an ABMS-recognized board
• Minimum of 5 years of clinical experience in your specialty
• Currently practicing and seeing patients an average of at least 20 hours per week over the past 30 days