Physician - Internal Medicine
EGA Associates, LLC.
Physician Reviewer – Medicaid Grievance Hearings (1099 Contract Role)
Location: Remote (U.S. based) Schedule: As needed; standard business hours (9 AM – 5 PM EST)
Contract Type: 1099 Independent Contractor
Position Overview
We are seeking board-certified physicians to serve as Vendor Physician Reviewers for Medicaid grievance cases. In this role, you will review clinical documentation and participate in member grievance hearings, providing expert medical opinions aligned with regulatory and organizational standards.
Key Responsibilities
- Grievance Review Participation
- Review assigned Medicaid grievance cases within the specified timeframe.
- Participate in scheduled member hearings, with a minimum of 10 calendar days' notice provided.
- Be available for expedited cases with 24-hour notice.
- Availability & Responsiveness
- Acknowledge receipt of grievance review requests within 1 business day.
- Be available during standard business hours (9 AM – 5 PM EST).
- Notify PHW of any scheduling conflicts at least 5 business days in advance to avoid cancellation penalties. Communicate immediately in case of emergency or technical issues preventing participation.
- Quality & Compliance
- Conduct thorough, unbiased reviews of all relevant documentation (e.g., PCSP, interRAI, SPG, AR, Appeal Summary). Ensure reviews are conducted in a private, quiet environment.
- Adhere to PHW policies, HIPAA regulations, and applicable state/federal guidelines.
- Documentation
- Submit clear, comprehensive findings and recommendations within 1 business day post-review.
- Communication & Collaboration
- Maintain open communication with PHW staff and grievance review committees. Respond promptly to queries or requests for additional information.
- Training & Development
- Participate in initial and annual grievance review training sessions as required by PHW's Chief Medical Officer.
- Ethics & Integrity
- Disclose any potential conflicts of interest and recuse from cases where impartiality may be compromised.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Physician - Internal Medicine in United States vacancy
$311.56k - $317k
...Job Description & Requirements Family Medicine Physician or Internal Medicine Physician StartDate: ASAP Pay Rate: $311557.00 - $317000.00 A community-based hospital in Southeast Michigan is seeking a board-eligible or board-certified Family Medicine or Internal...SuggestedFull timeImmediate startRelocation package- SSM Health is an Equal Opportunity Employer: Community Description: About SSM Health: Internal Medicine Physician or Family Medicine Physician with SSM Health South Madison Clinic, Madison, Wisconsin This primary care physician opportunity located at our South...SuggestedLocal areaRelocation package
$425k
...s why our model lets you focus on taking care of them. Our physicians have wrap-around practice and administrative support to do... ...seeking a Spanish Bilingual Board Certified or Eligible Family Medicine or Internal Medicine physician to join our Rockwood clinic community....SuggestedFull timeRelocation package$397k
...medical group in Oregon and southwest Washington with 1,500+ physicians and 300+ administrative professionals caring for 615,000+... ...invite applications for Board Certified or Eligible Family Medicine or Internal Medicine to join our Keizer Station, North Lancaster, or Skyline...SuggestedRelocation packageFlexible hours$261.96k - $376.17k
...Summary and Responsibilities Outstanding Practice Opportunity in the Beautiful Olympic Peninsula! Are you a passionate Internal Medicine Physician seeking a rewarding career in a stunning natural setting? Do you thrive in a collaborative environment where patient care...SuggestedWeekday work$290.75k
...Job Summary and Responsibilities CHI Health and Creighton University School of Medicine are actively seeking a full-time Internal Medicine Physician to join our established practice in Columbus, Nebraska . Practice Highlights: New Grads encouraged to apply...Full timeTemporary workFlexible hoursShift work$290k - $310k
...Responsibilities Mercy Medical Group (MMG) , a multi-specialty group in the Sacramento region, is looking to add a Physician to our busy Internal Medicine Department at our Citrus Heights Clinic in Sacramento, CA. Highlights: ~ Very competitive sign-on bonus...Relocation package$261.96k - $376.16k
Job Summary and Responsibilities As our Primary Care Internal Medicine Physician, you will join an established practice in Burien, WA. We specialize in diagnosing and treating family medicine patients, making a significant impact on their lives and families. Every day you...Relocation package10 hours per week- Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: Regular 10 Pay Rate: $139.68 - $151.20 This facility is seeking an Internal Medicine Physician for locum tenens support as they look to fill a current need. Details and...For contractorsLocumImmediate startShift work
$139.68 - $151.2 per day
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: Day Pay Rate: $139.68 - $151.20 This facility is seeking an Primary Care Internal Medicine locums tenens support as they look to fill a current need. Details &...For contractorsLocumImmediate startMonday to FridayShift work$275k - $300k
...- Stockton , a service of Dignity Health Medical Foundation, is seeking a full-time, board-certified or board-eligible Internal Medicine Physician to join our team in Stockton, California. If you're eager to practice where collaboration meets compassion and every patient...Full timeLocal areaVisa sponsorshipRelocation packageMonday to FridayFlexible hoursAfternoon shift$300k - $320k
Job Summary and Responsibilities As our Internal Medicine Physician you will play a pivotal role in delivering comprehensive primary care within a thriving multi-specialty group in Elk Grove, CA. This opportunity offers a physician-led, patient-centric environment with...Relocation package$261.96k - $376.17k
...Job Summary and Responsibilities Internal Medicine Primary Care Physician Location: Gravelly Lake (South Tacoma area), Washington Job Type: Full-time Opportunity for an Internal Medicine Primary Care Physician at Gravelly Lake! We are seeking a dedicated and...Full timeWeekday work$250k - $300k
...Job Summary and Responsibilities As our Internal Medicine Physician , you will specialize in the prevention, diagnosis, and treatment of adult diseases, serving as a primary care provider and managing both common illnesses and complex, chronic medical conditions....Relocation package$290.75k
...Job Summary and Responsibilities CHI Health and Creighton University School of Medicine are actively seeking a full-time Internal Medicine Physician to join our established practice in Elkhorn, Nebraska . Practice Highlights: New Grads encouraged to apply...Full timeTemporary workFlexible hoursShift work$290k - $310k
...Responsibilities Mercy Medical Group (MMG), a multi-specialty group in the Sacramento region, is looking to add a Physician to our busy Internal Medicine Department at our Citrus Heights Clinic in Citrus Heights, CA. Opportunity Highlights: -Very competitive...Relocation packageWeekend work$270k - $320k
...Job Summary and Responsibilities As our Primary Care Physician, you will join our established and growing Internal Medicine team in Prescott, specializing in providing comprehensive primary care for patients and families across all ages and making a significant...Local areaRelocation packageFlexible hoursShift workWeekday work- ...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: Day 8 Pay Rate: $139.68 - $151.20 This facility is seeking an Adult Nurse Practitioner or Physician Assistant locums tenens support as they look to fill a current need...For contractorsLocumImmediate startMonday to FridayShift work
$261.96k - $376.16k
...Job Summary and Responsibilities Virginia Mason Franciscan Health is seeking a Primary Care Internal Medicine Physician in the beautiful Puget Sound Region of Washington State for a full-time position with an existing practice in Burien, near Seattle. Join a well...Full timeRelocation packageMonday to Friday$290k - $310k
...Summary and Responsibilities Mercy Medical Group (MMG) , a multi-specialty group in the Sacramento region, is looking for Internal Medicine Physicians to join our clinic in Folsom, CA. Opportunity Highlights: Join two established internists and a APP in a growing,...Local areaRelocation package$300k - $425k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Pay Rate: $300000.00 - $425000.00 A well-established and highly regarded private practice in Sacramento, CA is looking to add an additional outpatient Internal Medicine physician...Permanent employmentFull timePrivate practiceWork at officeImmediate startMonday to Friday$250k - $260k
...St. Peters Health Partners Medical Associates is seeking a Full Time Physician for St Peters Internal and Family Medicine. This is an exciting opportunity to join an existing outpatient practice with strong patient demand and hospital affiliated practice support. Enjoy...Full timeShift work- ...Description: About SSM Health: Fond du Lac Regional Clinic (FDLRC) is a 110 physician multispecialty group serving east central Wisconsin as part of SSM Health is seeking an Internal Medicine Physician to join its Fond du Lac Clinic. FDLRC is a physician-owned &...Full timeRelocation package
$250k - $350k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: 5 day work week Pay Rate: $250000.00 - $350000.00 Join a highly reputable medical group dedicated to delivering quality, compassionate care as an Internal Medicine physician...Full timeImmediate startShift work$275k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Pay Rate: $275000.00 - $275000.00 Advance your career in a thriving academic environment. Virginia Commonwealth University (VCU) in desirable Richmond, Virginia, seeks a dedicated Internal...Full timeImmediate start$245k - $295k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Pay Rate: $245000.00 - $295000.00 A mission-driven health system in Bergen County New Jersey seeks a Board Certified/Board Eligible Internal Medicine Physician to join an established,...Full timeLocal areaImmediate start$245k - $275k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: M-F Pay Rate: $245000.00 - $275000.00 A large, mission-driven health system in New Jersey seeks a BC/BE Internal Medicine Physician to join its expanding primary care...Full timeLive inImmediate startShift workWeekend workAfternoon shift$275k - $300k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Pay Rate: $275000.00 - $300000.00 OPPORTUNITY HIGHLIGHTS: ~100% Outpatient - Part-time or Full-time - Option for a 3, 4, or 5-day work week ~1099 employment with a m onthly benefits...Full timePart timeLocal areaImmediate startRelocation package3 days per week$320k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: M-F Pay Rate: $320000.00 - $320000.00 A reputable primary care practice dedicated to delivering exceptional, personalized care tailored to each individual's needs and...Full timeLocal areaImmediate startRelocation packageShift work$310k - $320k
...Job Description & Requirements Internal Medicine Physician StartDate: ASAP Available Shifts: M-F Pay Rate: $310000.00 - $320000.00 An established practice in the San Francisco East Bay is adding to its Internal Medicine team in Walnut Creek, CA . OPPORTUNITY...Full timeLocal areaImmediate startRelocation packageShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Physician - Internal Medicine. Be the first to apply!
Related searches
- permanent doctor United States
- physician United States
- pain management physician United States
- physician advisor opportunity United States
- unlicensed physician United States
- travel physician United States
- physician reviewer United States
- remote physician United States
- sports medicine physician United States
- physician liaison United States