Peer Reviewer (Board Certified) (Remote-Maryland)
ΠΡΡΡ & Π‘ΠΎΠΏΡΠΎΠ²ΠΎΠ΄
ΠΠ»Ρ ΠΌΡΡΡΠ° Ρ ΡΡΠΎΠΉ Π²Π°ΠΊΠ°Π½ΡΠΈΠ΅ΠΉ Π½ΡΠΆΠ΅Π½ Plus
ΠΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²Π°ΠΊΠ°Π½ΡΠΈΠΈ
Location: Fully remote from Maryland, United States
Salary: $750β$2,000 per case, based on case type and complexity
Company
provides data-driven healthcare solutions that combine technology and clinical expertise to support quality outcomes and more efficient care processes.
What you will do
- Conduct independent remote clinical case reviews within the relevant specialty.
- Evaluate medical necessity, appropriateness of care, quality of care, and standards of care.
- Review medical records and supporting clinical documentation.
- Apply clinical guidelines, evidence-based standards, and professional judgment.
- Provide clear, well-supported written determinations for utilization reviews, appeals, hearings, and quality-of-care cases.
- Maintain neutrality, objectivity, and confidentiality while completing reviews within established turnaround times.
Requirements
- Active, unrestricted U.S. medical license required.
- Board certification required in Family Medicine with pediatric experience, Rheumatology, Pain Management, Psychiatry, or Physical Medicine & Rehabilitation by an ABMS- or AOA-recognized board.
- At least 5 years of clinical experience in the specialty.
- Active direct patient care practice averaging at least 20 hours per week.
- Strong written communication and clinical documentation skills, with the ability to evaluate complex medical records and provide evidence-based conclusions.
- Ability to meet established case turnaround deadlines.
Culture & Benefits
- 100% remote independent physician reviewer opportunity.
- 1099 independent contractor arrangement.
- Flexible case assignments based on specialty and availability.
- Ability to maintain an existing clinical practice while performing supplemental review work.
- Opportunity to support clinical oversight and quality of care for military members and their families.
ΠΡΠ΄ΡΡΠ΅ ΠΎΡΡΠΎΡΠΎΠΆΠ½Ρ: Π΅ΡΠ»ΠΈ ΡΠ°Π±ΠΎΡΠΎΠ΄Π°ΡΠ΅Π»Ρ ΠΏΡΠΎΡΠΈΡ Π²ΠΎΠΉΡΠΈ Π² ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ iCloud/Google, ΠΏΡΠΈΡΠ»Π°ΡΡ ΠΊΠΎΠ΄/ΠΏΠ°ΡΠΎΠ»Ρ, Π·Π°ΠΏΡΡΡΠΈΡΡ ΠΊΠΎΠ΄/ΠΠ, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡΠ΅ ΡΡΠΎΠ³ΠΎ - ΡΡΠΎ ΠΌΠΎΡΠ΅Π½Π½ΠΈΠΊΠΈ. ΠΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎ ΠΆΠΌΠΈΡΠ΅ "ΠΠΎΠΆΠ°Π»ΠΎΠ²Π°ΡΡΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡΠΈΡΠ΅ Π² ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΡ. ΠΠΎΠ΄ΡΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β