Remote Physician Reviewer - Utilization Management (MD/DO)
Oscar Health
A leading health insurance company is hiring a remote Physician Reviewer to join their Utilization Management team. This role involves determining the medical appropriateness of services based on clinical information and evidence-based guidelines. Candidates should have an MD or DO certification, at least six years of clinical experience, and one year of utilization review experience. The position offers competitive pay, employee benefits, and opportunities for professional growth. #J-18808-Ljbffr
- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
$174.07k - $374.92k
Oak Street Health, part of CVS Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. This role requires at least one year of Utilization Management experience in Medicare...Remote workFull time$211.2k - $277.2k
...Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health... ...Management. Work Location: This is a remote position, open to candidates who... ...: ~ Board certification as an MD or DO ~ Licensed in one of these...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ChenMed is looking for a Licensed Physician Reviewer - Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal candidate...Remote job
- ...healthcare innovation company is seeking Metabolic Health Physicians to provide evidence-based care in a telehealth... ...compensation, flexible scheduling, and the chance to work remotely. Ideal candidates will hold an MD or DO with relevant experience in metabolic care. #J-18808...Remote workFlexible hours
$100 - $125 per hour
...Rethink Impact, Andreessen Horowitz, and Khosla Ventures. Physician MD/DO - CA/PA/TX License (Part-Time) Remote Deliver high-quality telehealth care focused on prevention, chronic disease management, and lifestyle interventions (e.g. nutrition, movement,...Remote workPart timeFlexible hours$190 per hour
Northeast Healthcare Recruitment, Inc. (NEHCR) is seeking a fully remote Telehealth Physician (MD/DO) to perform Medicare Chronic Care Management (CCM) Initiating Visits. The role offers a compensation of $190/hr and operates Monday to Friday, with no on-call duties or...Remote jobBi-weekly payMonday to FridayWeekend work$90.87 - $154.33 per hour
A healthcare management company is seeking a remote Physician Clinical Reviewer specializing in Dermatology. This role involves reviewing cases that require clinical... ...clinical rationale for appeals. Candidates must hold a DO/MD and have 5+ years of clinical experience. The...Remote job$150 - $170 per hour
CareCentrix is seeking a Part-Time Physician Reviewer to conduct utilization reviews, ensuring medical necessity across... ...decisions. The ideal candidate is an MD or DO with at least 3 years of clinical practice and utilization management experience. The position offers...Hourly payPart timeFlexible hoursWeekday work- Overview Medical Review Institute of America (MRIoA... ...specializing in utilization management and clinical review services... .... Position Physician Advisor (UM Medical Director... ...) - Full‑time, remote (United States) Role... ...as a Medical Doctor (MD/DO), any state. Hold current...Remote workFull timeFlexible hoursShift workWeekend work
- ...office. What We Offer 100% Remote: Enjoy the convenience of working... ...Telemedicine Medication Management sessions. Embrace innovative... ...scheduling and billing support. Utilize Zoom and EHR access to... ...Qualifications Active Medical License (MD/DO) in California, Nevada, or...Remote jobContract workWork at officeLocal areaWork from homeFlexible hours
$240k
...Job Description Job Description Utilization Management Physician (UMP) Remote | Full-Time | Florida... ...Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical... ...education as needed Requirements ~ MD or DO with active, unrestricted Florida...Remote jobFull timeRelocation$90.87 - $154.33 per hour
...healthcare organization is seeking a Physician Clinical Reviewer specializing in Gastroenterology for a remote role. This position is crucial to the utilization management team, responsible for timely... .... Candidates must hold a DO, MD, or MBBS and have over 5 years of...Remote work- ⭐ Now Hiring: Sleep Physician (MD or DO) – Remote ⭐ Integrated Sleep Care, a Pivotal Health Company... ...medicine consultations and ongoing patient management in a fully remote environment. This... ...patient concerns and alerts ⭐ Utilize telehealth technology to provide ongoing...Remote workContract workImmediate startWork from homeHome officeFlexible hours
- ...of diagnostic reasoning, chronic disease management, and patient care will help ensure AI systems... .... Candidate Requirements: MD or equivalent; active practice within the... ...Duration: 1 month, with possible extension Remote: Fully remote, collaborative environment...Remote workFor contractorsFreelance
- ...Posting: Medical Director – Utilization Management (Remote) Pay: up to $200 an hour... ...and structural balance many physicians look for when... ...ensuring high-quality, compliant review processe s.Conduct utilization... ...Required Qualificatio nsDegre e: MD or DO from an accredited...Remote workFull timeContract work
$120 - $130 per hour
...currently seeking a licensed Physician to provide virtual... ...cognitive concerns. This is a remote position. Your Role :... ...EHR). Our Requirements: MD or DO with an active, unrestricted... ...approach Must be comfortable utilizing technology and providing teletherapy...Remote workHourly payFull timePart timeFlexible hours- ...Medicine, or Family Medicine physicians, and all other physicians with... ...women's healthcare. Please review and respond to the three applicant... ...treating men who want to manage their testosterone levels, we... ...12 hours or more. You are an MD or DO who holds a valid license, ideally...Remote workExtra incomeFull timePart time
- A healthcare services company is seeking a full-time remote Utilization Management Physician Reviewer. The role requires a board-certified physician to perform... ...assurance processes. Candidates must possess an MD, DO, or DPM degree, along with an active board certification...Remote jobFull time
- Pacificmedicalcenters is looking for a Physician Advisor to enhance physician leadership within Utilization Management. This remote role supports Washington ministries and aims... ...Applicants must be board certified, possess an MD or DO, and have at least 5 years of clinical...Remote job
$331.41k - $373.44k
Wapa is seeking a Physician Advisor to provide leadership within Utilization Management. This fully remote position supports Washington ministries, enhancing medical necessity... ...data-driven strategies. Ideal candidates are MD or DO with board certification and experience as...Remote job$80.17 - $119.26 per hour
CommonSpirit Health is seeking a System Physician Advisor to conduct clinical case reviews in a remote capacity. This role entails ensuring effective utilization of healthcare services,... ...The ideal candidate will hold an MD or DO with a minimum of 5 years of clinical...Remote jobHourly pay- ...New Jersey is seeking a Physician Advisor to provide clinical... ...physician-to-physician reviews. The candidate will support utilization review and ensure... ...Qualifications include an MD or DO, board-certification, and... ...proficiency in utilization management are essential. This role...Remote job
- Swedish is seeking a Physician Advisor to lead within Utilization Management, collaborating closely with Care Management and Medical Staff. This fully remote position supports Washington ministries and... ...flow. Candidates must have an MD or DO, be board certified, and reside...Remote job
$90.87 - $154.33 per hour
...pharmaceutical service provider is seeking a Physician Clinical Reviewer in Pediatric Gastroenterology. This remote role focuses on utilization management, requiring expertise in clinical... ...physicians. Candidates must have a DO, MBBS, or MD and at least 5 years of clinical...Remote job$331.41k - $373.44k
...Medical Group is seeking a Physician Advisor for a fully remote position supporting... ...physician leadership within Utilization Management to improve patient flow... ...Physician Advisor will review cases, lead denial prevention... ...Candidates must have an MD or DO, board certification,...Remote job$180 per hour
...Physician (MD/DO) – VA TBI & General Medical Evaluations Watertown, NY (Travel to Syracuse... ...without nights, weekends, or ongoing patient management? The IMA Group is seeking a... ...disability evaluations in Syracuse Review medical records and relevant clinical documentation...Extra incomeFull timeWork from homeFlexible hoursWeekend work1 day per week- ...Orthopedic Surgeon Reviewer Dane Street... ...of independent physician reviewers. In... ...role, you will utilize your orthopedic... ...This fully remote opportunity offers... ...Disorders Fracture Management Joint... ...Doctor of Medicine (MD) or Doctor of... ...Medicine (DO) Board Certification...Remote workExtra incomeFor contractorsFlexible hours
- ...recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently... ...to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... ...portal and streamlined case management Full onboarding and...Remote workPrice workExtra incomeFor contractorsFlexible hours
- ...DRG Clinical Physician Reviewer We are seeking a highly experienced DRG... ...review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation... ...Qualifications: ~ MD/DO required with active, unrestricted...Remote work
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