Remote Physician Reviewer - Quality of Care
DOMA Technologies
- Remote job
A healthcare technology company is seeking passionate Physicians (MD/DO) for a fully remote position evaluating medical necessity in case reviews. This contract-based role involves conducting independent assessments while maintaining clinical integrity. Ideal candidates must hold an active medical license, board certification, and have at least 5 years of clinical experience. Flexible workloads and per-record compensation structure make this an impactful job focused on enhancing patient care. #J-18808-Ljbffr DOMA Technologies
- ...COMMENCE is seeking a Physician Peer Reviewer to conduct independent remote case reviews focused on quality patient care. Candidates should hold an active U.S. MD/DO license and have at least 5 years of clinical experience in their specialty. The role is fully remote...Remote workContract workFlexible hours
- ...leading healthcare consulting firm is seeking a Specialty Physician Reviewer with expertise in genetics to conduct thorough reviews and... ...skills. Join us in revolutionizing healthcare delivery by ensuring quality care and supporting healthcare providers. #J-18808-Ljbffr...Remote workContract workFlexible hours
- ...DRG Clinical Physician Reviewer We are seeking a highly experienced DRG... ...review team. This is a fully remote opportunity for a physician... ...directly impact healthcare quality and reimbursement integrity.... ...Conduct readmission and level of care reviews, including outlier...Remote work
- ...and knee) for high-impact case review roles on Contract. At WNS... ...improve patient safety and deliver quality care through an evidence-based,... ...Role Overview As a Specialty Physician Reviewer, you’ll leverage... ...musculoskeletal conditions Job Type - Remote / Contract WNS HealthHelp (A...Remote workContract workFor contractorsLocal areaFlexible hours
- ...OK licensure is preferred remote in any state except, CA, NY,... ...requests. Participates in the Physician Review Units' appeal process of... ...participates in all unit continuous quality improvement activities.... ...have understanding of managed care and demonstrate PC proficiency...Remote workWeekend work
- ...different than most primary care providers. We're rapidly expanding... ...to join our team. The Physician Reviewer is the primary physician... ...participate in Process and Quality improvement in our developing... ...Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeLocal area
- ...members whose cases come for review, in partnership with... .... Participates in the Physician Review Units' appeal... ...in all unit continuous quality improvement activities.... ...understanding of managed care and demonstrate PC... ...4 weekends per year remote, but must reside within...Remote workContract workWeekend work
- ...exclusive features. Location: Remote (Must reside in IL, MT, NM... ..., board-certified physicians to join their Medicare Utilization... ...team as Physician Reviewers. In this remote role, you... ...internal teams to ensure quality and cost-effective care for our members. This position...Remote workFull timeWeekend work
$105 - $115 per hour
...Job #103291 Job Title: Physician Reviewer Job Summary... ...participates in appeals and quality improvement initiatives. This... ...position with no direct clinical care or diagnosis responsibilities... ...Work Arrangement: Fully remote (Not available in CA, NY, HI...Remote workContract workFlexible hoursWeekend work$1,800 per month
...Hospital At Home Physician Join Our Team: At Esse Health,... ...physicians to provide high-quality, coordinated hospital care to patients from the comfort... ..., Imaging, EMS Transport, Remote Monitoring and more.... ...further information, please review the Know Your Rights notice...Remote workReliefShift workWeekend workWeekday work$155 - $165 per hour
...message the job poster from EPITEC As a Physician Reviewer, you'll play a critical role in... ...that our members receive high-quality, cost-effective care. You'll work closely with our team... ...improvement activities What We Offer Fully remote work arrangement (Weekends only) 9...Remote workFull timeContract workWork at officeWeekend work- ...Expert in Staffing APP’s and Physicians. The organization is a technology... ...focused on member‑centered care. Founded in 2012, it delivers... ..., and pharmacy services by reviewing clinical information and applying... ...alignment with established quality standards. Make clinical...Remote jobWeekend work
$174.07k - $374.92k
...Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for... ...skills. The position supports personalized primary care for older adults, emphasizing on quality care. The typical pay range for this role is between...Remote workFull time- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or... ...ensuring high standards of patient care. Responsibilities include... ...home while contributing to quality medical reviews. #J-18808-Ljbffr...Remote workFull timeWork from home
- ...Physician Reviewer Job Category: Medical and Health Requisition Number:... ...March 4, 2026 Full-Time Remote, Anywhere USA Description... ...clinical or direct patient care No federal or state sanctions... ...from the Department of Labor. TMF Health Quality InstituteRemote workFull timeContract workTemporary workPart timeFor contractorsLocal area
- ...management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include... ...based guidelines, and collaborating to ensure quality care for members. Candidates must be board-certified...Remote work
- ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware... ...and operational teams to ensure high-quality, evidence-based utilization management... ...experienced utilization management and care management teams Opportunity to leverage...Remote work
- ...A healthcare organization is seeking a PEER REVIEWER for their REMOTE role to enhance quality healthcare through independent medical reviews. Candidates must... ...conducting peer reviews, making determinations on care quality, and using IT systems for submissions. This position...Remote workFlexible hours
- ...Physician Reviewer – Utilization Management (Remote)-Full Time Overview We are seeking a Board-Certified Physician to support utilization management... ...part in ensuring evidence-based, high-quality, and cost-effective care decisions. The ideal candidate brings strong clinical...Remote workFull timeLocal areaWeekend work
$211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical... ...Work Location: This is a remote position, open to candidates... ...that meet Oscar's stringent quality parameters. Provide clinical... ...experience in a managed care plan (health care industry)...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...turnaround times. Our reviewers are compensated on a per... ...JOB SUMMARY Our Physician Reviewers need to have... ...identifying and responding to quality assurance issues,... ...stipend is provided for remote work space. Come up to... ...Administrators, Managed Care Organizations, Employers...Remote workFor contractorsWork experience placement
$174.07k - $374.92k
...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...and prioritize safety and quality in everything we do. Join us and be... ...: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description...Remote workHourly payFull timeLocal area$60.52k - $129.62k
...surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves... ...accountable and prioritize safety and quality in everything we do. Join us and be part... ...ion Position Summary The Care Plan Reviewer (Clinical Case Manager BH) utilizes...Remote workHourly payFull timeTemporary workLocal area$35 per hour
...app truly engaging? As an Associate App Quality Reviewer, you’ll dive into the vibrant world of... ...firsthand what captivates users. This remote, entry-level role invites you to explore... .... Ability to follow instructions, test carefully, and provide clear feedback. Plan to dedicate...Remote workHourly payContract workFixed term contractStart working todayWork from homeWorldwideFlexible hours- ...Title: Medical Director Location: REMOTE Duration: 06+ months (... ...Medical Director’s work includes reviewing all submitted medical records,... ...accountability for productivity, quality, and compliance metrics.... ...years of direct clinical patient care experience post residency or fellowship...Remote workContract work
- ...dynamic team of expert clinical reviewers. In this role, you will use... ...related to orthopedic spine care and medical necessity. We... ...critical role in delivering high-quality healthcare assessments.... ...based on your availability No physician–patient relationship is...Remote workFor contractors
$31 per hour
...About Us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our... ...in South Jersey. Short Description The HIM Coding Quality Reviewer & Educator is responsible for: Ensuring the accuracy, integrity...Remote workFull timePart time- ...join our growing team of expert clinical reviewers. In this role, you will apply your orthopedic... ...from our clients related to orthopedic care. We are currently seeking... ...judgment and commitment to improving the quality, accuracy, and consistency of healthcare...Remote workFor contractors
$150 per hour
...Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276) Location: Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case... ...objective reviews of wound care cases, contributing to quality improvement and patient safety initiatives. This is an excellent...Remote workHourly payPrice workExtra incomeContract workPrivate practiceWork at officeFlexible hours- ...a full-time Surgical Clinical Reviewer to collect and submit vital data... ...of Surgery to ensure quality improvement initiatives and patient... ...a Master’s degree in a health-care field and at least one year of... ...experience. The position is fully remote and offers various benefits...Remote jobFull time
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