OB/GYN - Utilization Review - Remote (1099 - Independent Contractor)

Medical Review Institute of America; Dallas (TX); Remote; USD 100,000 - 140,000; Full time

Job summary

Join a forward-thinking organization as an Independent Contractor, where you can leverage your medical expertise to review treatment appropriateness. This role offers the flexibility to work remotely from anywhere in the US, allowing you to contribute as little as 1-2 hours per week. Ideal candidates will be MDs or DOs with Board Certification in OB/GYN and at least five years of patient care experience. Enjoy the autonomy of working from home while ensuring compliance with healthcare regulations in a supportive environment that values diversity and inclusion. Make a meaningful impact in the healthcare industry while maintaining a work-life balance.

Benefits

Flexible working hours

Remote work opportunity

Covered under Errors and Omissions policy

Qualifications

• Must have 5 years of patient care experience in OB/GYN.
• Must have an unrestricted New Mexico or Minnesota state medical license.

Responsibilities

• Review Prior Authorizations for treatment using healthcare guidelines.
• Provide expert assessments ensuring compliance with regulations.

Skills

Patient Care

Medical Review

Compliance with ERISA/DOL

Education

MD or DO

Board Certification in OB/GYN

Job description

MRIoA is a national Independent Review Organization, who facilitates the review of medical claims to determine treatment appropriateness.

THE OPPORTUNITY:
New Mexico or Minnesota state medical license required.

• Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
• Flexibility – work as little as 1-2 hours per week (with no minimum requirement). Most cases take 30-60 minutes to complete.

ADDITIONAL INFORMATION:

• Work remotely from anywhere in the US (Per HIPAA Regulations patient records cannot leave the US.)
• Covered under MRIoA’s Errors and Omissions policy.
• Independent Contractor (1099) opportunity.

Requirements:

• Must be an MD or DO.
• Must be Board Certified in OB/GYN.
• Must have 5 years of patient care experience in OB/GYN.
• Must have an unrestricted New Mexico or Minnesota state medical license.
• Must be a US Citizen or hold a Green Card.

California Consumer Privacy Act (CCPA) Information (California Residents Only):

• Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
• Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [e-mail].

Work Environment:
Ability to sit at a desk, utilize a PC, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment.