Actively Practicing Physician (Healthcare)

TL;DR

Actively Practicing Physician (Healthcare): Conducting independent clinical case reviews to evaluate medical necessity, appropriateness, and quality of care with an accent on evidence-based assessments and clinical integrity. Focus on performing utilization reviews, handling appeals, and ensuring high standards of care for military members and their families.

Location: Must be based in the United States (Maryland or surrounding states preferred)

Company

hirify.global is a data-centric healthcare company focused on transforming health outcomes through clinical expertise and data-driven solutions.

What you will do

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

Requirements

• Active, unrestricted U.S. license as an MD, DO, or PA.
• Board certified by an ABMS or AOA-recognized board within Maryland or surrounding states.
• Minimum of 5 years of clinical experience post-residency or fellowship.
• Currently practicing and seeing patients at least 20 hours per week.
• Must be authorized to work in the U.S.

Culture & Benefits

• Fully remote, contract-based (1099) role.
• Flexible workload with cases assigned based on availability.
• Impactful work contributing to healthcare oversight and quality.
• Compensation structured on a per-record basis.