Job Title: Physician Reviewer
Location: Remote in United States
Job Type: 2 Year W2 Contract
Expected hours per week: 16 hours per week
Schedule: TRAINING – 4-week period, 3–4 days per week, Monday–Friday, 8 a.m.–5 p.m. CST
REGULAR – At least two weekends per month (Saturday and/or Sunday) and 8-hour shifts.
Pay: $105 per hour
Job Summary
This role provides medical necessity reviews for pre-service clinical requests on a remote, weekend-only schedule. The position requires an initial 4-week training period, followed by ongoing weekend coverage for at least two weekend days per month. Physicians work 8-hour shifts on Saturdays and/or Sundays, with a productivity expectation of 32 cases per day. This is a fully remote role and can be performed from any U.S. state.
What You’ll Do
- Conduct pre-service medical necessity reviews based on established company guidelines.
- Evaluate clinical service requests to determine appropriateness and alignment with evidence-based criteria.
- Complete required training over a 4-week period, 3–4 days per week, Monday–Friday, 8 a.m.–5 p.m. CST.
- Provide weekend coverage for at least two weekend days per month (Saturday and/or Sunday).
- Meet productivity expectations of at least 32 cases per weekend day.
- Document determinations accurately within internal systems.
- Collaborate with internal teams as needed to support review processes.
- Maintain compliance with all regulatory, clinical, and organizational standards.
What You Bring
- Board Certification as an M.D. or D.O.
- Unrestricted physician license in any U.S. state or territory
- Basic computer proficiency and comfort working in digital review platforms
- Ability to work independently in a remote environment
- Strong clinical judgment and familiarity with evidence-based practice
- Willingness to commit to initial training and ongoing weekend coverage
Additional Details
- Remote position — no onsite work required
- No direct patient care or diagnostic evaluation involved
- Weekend-only schedule after training
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