Medical Review Specialist

Pinnacle Review Group, LLC; Pittsburgh (Allegheny County); Remote; USD 120,000 - 180,000; Full time

Job summary

Pinnacle Review Group, LLC is seeking board-certified, actively licensed physicians across all specialties to join our panel of reviewers. We specialize in external medical reviews to ensure fair and evidence-based determinations for medical necessity, experimental, and investigational reviews.

Reviews are conducted remotely on your own schedule, with no patient contact or treatment involved. You will help uphold the integrity of healthcare decision-making while maintaining professional

Qualifications

• Active board-certification required.
• Actively licensed to practice medicine in the United States.
• At least 3 years of clinical experience.
• Ability to conduct case reviews remotely with no direct patient contact.

Responsibilities

• Conduct external medical reviews remotely according to established criteria.
• Maintain independence and unbiased decision-making in all evaluations.
• Contribute to the integrity and quality of healthcare determinations.

Skills

Board-certified

Actively licensed

Clinical experience

Remote case review capability

Job description

Pinnacle Review Group, LLC, is an Independent Review Organization specializing in conducting external medical reviews. We are currently seeking board-certified, actively licensed physicians in all specialties to join our panel of reviewers. As part of our team, you would play a critical role in ensuring fair and impartial evidence-based determinations for medical necessity, experimental, and/or investigational reviews. Currently we are looking to expand our physician network to include all major specialties under the American Boad of Medical Specialties. Specialties we are seeking include:

• -Allergy and Immunology
• -Anesthesiology
• -Cardiology
• -Colon and Rectal Surgery
• -Dentistry
• -Family Medicine (must have subspecialty)
• -Internal Medicine (must have subspecialty)
• -Medical Genetics and Genomics
• -Neurological Surgery
• -Obstetrics and Gynecology
• -Oncology
• -Ophthalmology
• -Orthopedic Surgery
• -Orthodontist
• -Pathology
• -Plastic Surgery
• -Preventative Medicine
• -Radiology
• -General Surgery
• -Vascular Surgery
• -Thoracic Surgery
• -Urology

Highlights of this opportunity include:

• Conduct case reviews remotely and on your own schedule
• Maintain complete independence — no patient contact or treatment is involved
• Contribute to the integrity and quality of healthcare decision-making

If you are board-certified, actively licensed, and have at least three years of clinical experience, we would love to connect.

Requirements

• - Active board-certification
• - Actively licensed
• - At least 3 years of clinical experience
• - Remote case review (no patient contact or treatment)
• -Ability to review and submit cases on your own schedule