Remote Flexible Physician Utilization Reviewer (1099 - Independent Contractor)

Description

Flexible Independent Contractor (1099) Opportunity – Work 10 to 40 Hours Per Week!

We are seeking Family Medicine or Internal Medicine board certified physicians to review Prior Authorizations for treatments, DME requests, SNF admissions, medications, and more. Our reviewers apply nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.

• PLEASE NOTE: A current California, Pennsylvania, Texas or Mississippi unencumbered medical license is required.

WHO WE ARE

Founded in 1983, the Medical Review Institute of America (MRIoA) is the market leader for technology-enabled utilization management and clinical medical review solutions. We have an outstanding reputation for excellence and achieve continual improvement.

At MRIoA, we believe our reviewers are the key to our success. Here, you are more than just a cog in the machine – you are a valued member of our team.

POSITION OVERVIEW

Our reviewers review Prior Authorizations for treatment, DME requests, SNF admissions, Medications, etc. to see if they meet nationally accepted medical guidelines and/or healthcare plan guidelines. They provide their expertise, as an unbiased, external source, and in compliance with ERISA/DOL and/or state laws. This position allows flexibility to work from 10 to 40 hours per week.

Is Review Work Right for You?

• Utilize your medical expertise in a remote, at-home setting.
• Reduce or eliminate your direct patient care responsibilities.
• Stay informed on evolving practices in your specialty field.
• Gain valuable insight into the Prior Authorization process.
• Work 10 to 40+ hours per week - based on your availability.
• Note: We seek candidates available 5-7 days per week (flexible hours). Sporadic availability (1-2 days per week) does not align with our needs.
• Enjoy the freedom of an Independent Contractor (1099) role with the flexibility to set your own schedule.

Additional Information:

• Covered under MRIoA’s Errors and Omissions policy (traditional Malpractice Insurance is not applicable).
• Work remotely from anywhere in the U.S. (patient records cannot leave the country).
• Non-employed Independent Contractor (1099) opportunity.

Requirements

Skills and Experience: 

• Strong computer skills.
• Ability and willingness to conduct Peer-to-Peer calls during business hours.
• Must utilize healthcare plan criteria in decision-making when required.
• Board Certification in Family Medicine or Internal Medicine REQUIRED.
• Active, unrestricted California, Pennsylvania, Texas or Mississippi medical license.

Education:

• MD or DO degree
• Board Certification in Family Medicine or Internal Medicine REQUIRED

Work Environment:

Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.



This company is a drug-free workplace. All candidates may be required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment.