Physician Peer Reviewer

TL;DR

Physician Peer Reviewer (Medical): Conducting independent clinical case reviews to evaluate medical necessity, appropriateness, and quality of care for military health programs with an accent on evidence-based assessments and clinical integrity. Focus on performing utilization reviews, appeals, and quality of care determinations while maintaining an active clinical practice.

Location: Must hold an active, unrestricted U.S. license

Compensation: $100–$450 per case

Company

hirify.global is a data-centric healthcare technology company providing clinical expertise and data-driven solutions to improve patient outcomes and care efficiency.

What you will do

• Conduct independent remote case reviews evaluating medical necessity and quality of care.
• Provide evidence-based written determinations following established clinical guidelines.
• Support utilization reviews, appeals, and hearings.
• Maintain objectivity and clinical integrity in all assessments.
• Meet turnaround deadlines for case reviews.

Requirements

• Active, unrestricted U.S. license as an MD or DO.
• Board certified in your specialty by an ABMS or AOA-recognized board.
• Minimum of 5 years of clinical experience in your specialty.
• Currently practicing and seeing patients at least 20 hours per week.
• Strong written communication skills and attention to detail.

Nice to have

• Experience with QIO, peer review, or utilization review.
• Familiarity with military or federal healthcare programs like TRICARE or Medicare.
• Previous experience with legal or regulatory case reviews.

Culture & Benefits

• Fully remote, contract-based (1099) role.
• Flexible workload with cases assigned based on your availability.
• Impactful work contributing to high-quality care oversight.
• Opportunity to work independently in a secure environment.