Medical Doctor

The Judge Group; Salt Lake City (UT); Remote; USD 161,000 - 316,000; Full time

Job summary

A leading healthcare firm is looking for a Remote Physician Reviewer. This role requires board-certified physicians with at least 5 years of patient care experience to conduct peer reviews and provide evidence-based insights on clinical appropriateness for coverage requests. Join and impact healthcare decisions nationwide!

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• 5+ years of full-time hospitalist patient care.
• Utilization management or peer review experience highly preferred.

Responsibilities

• Conduct peer reviews to evaluate clinical appropriateness of coverage requests.
• Provide objective, evidence-based insights to support review decisions.

Skills

Attention to detail

Clinical appropriateness evaluation

Peer review experience

Understanding of insurance plan criteria

Education

Board Certification in Family Medicine or Internal Medicine

Unrestricted, active medical license

Tools

Multi-monitor setup

Job description

1 week ago Be among the first 25 applicants

Direct message the job poster from The Judge Group

Sr. Healthcare Recruiter at The Judge Group

Judge Healthcare is seeking a board-certified Physician to join our team as a Remote Physician Reviewer! In this role, you’ll leverage your clinical expertise to provide evidence-based reviews and adjudicate requests for commercial and Medicare D medications.

Location: Remote (Work from Home)

What You’ll Do

Conduct peer reviews to evaluate the clinical appropriateness of coverage requests. Stay informed on cutting-edge medical treatments and emerging technologies. Provide objective, evidence-based insights to support review decisions.

Schedule & Compensation

Qualifications

Board Certification: Family Medicine or Internal Medicine (ABMS or AOA accredited)

Licensure: Unrestricted, active medical license for clinical practice

• 5+ years of full-time hospitalist patient care
• Utilization management or peer review experience highly preferred

Technical Requirements

Ability to navigate multiple applications and work efficiently with a multi-monitor setup

Skills & Attributes

Strong understanding of insurance plan criteria for clinical reviews Exceptional attention to detail and ability to work in a remote environment

Join us and make an impact on healthcare decisions nationwide! Apply today!

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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