Remote Family Medicine/Sports Medicine Utilization Reviewer (PA Licensed) - 1099 Contractor
Remote · from United StatesFreelance / independent contractor
Core
Conduct independent utilization reviews for medical claims, including peer-to-peer conversations, for a nationally recognized Independent Review Organization (IRO).
Role type
Independent Contractor Utilization Reviewer (Family Medicine/Sports Medicine)
Builds
Utilization management decisions and peer review outcomes
Domain
Healthcare / Utilization Management
Deliverable
client delivery
Required skills
Medical degree (MD/DO), Board Certification in Family Medicine, Fellowship in Sports Medicine, Pennsylvania medical license, 5+ years clinical experience, daytime availability
Preferred skills
None stated
Technologies
None stated
Responsibilities
Conduct independent utilization reviews, perform peer-to-peer conversations regarding patient care plans
Seniority
Mid-level clinical specialist