Remote Physician Advisor - Payor Peer-to-Peer Review

R1 RCM, Inc.; Argentina; Remote; ARS 231,927,000 - 307,644,000; Full time

Job summary

R1 RCM, Inc. is seeking a Physician Advisor to review payor peer-to-peer cases and advise on the appropriateness of authorization requests. The role requires an active MD/DO license and at least 3 years of clinical experience post-residency.

The position is remote and based in the US healthcare context, with annual bonus opportunities. You will evaluate documentation quality, interact with payor medical directors, and provide written analyses to assist hospitals and health systems in navigating

Qualifications

• Active, unrestricted MD or DO medical licensure.
• Minimum 3+ years of clinical experience post-residency completion.

Responsibilities

• Review payor peer-to-peer cases to assess authorization requests.
• Evaluate if proper documentation supports admission status, procedure and care setting.
• Advise clients regarding appropriateness of requests based on available documentation.
• Discuss cases with payor medical directors and provide written case analyses.

Education

MD or DO licensure

3+ years clinical experience post-residency

Job description

R1 RCM, Inc. is seeking a Physician Advisor to review payor peer-to-peer cases and advise on the appropriateness of authorization requests. The role requires an active MD/DO license and at least 3 years of clinical experience post-residency.

The position is remote and based in the US healthcare context, with annual bonus opportunities. You will evaluate documentation quality, interact with payor medical directors, and provide written analyses to assist hospitals and health systems in navigating