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

Santa Barbara Cottage Hospital; United States; Remote; USD 80,000 - 150,000; Full time

Job summary

An established industry player is seeking a qualified medical professional for a flexible, remote opportunity. This role involves reviewing prior authorizations for treatment, ensuring compliance with national guidelines and regulations. Ideal candidates will be Board Certified in OB/GYN and possess significant patient care experience. With the flexibility to work as little as 1-2 hours per week, this position is perfect for those looking to balance their professional and personal lives while contributing to important healthcare decisions. Join a team that values diversity and promotes a healthier atmosphere for all.

Benefits

Flexible Work Hours

Errors and Omissions Coverage

Work from Home

Qualifications

• Must be Board Certified in OB/GYN with 5 years of patient care experience.
• Must hold an unrestricted New Mexico or Minnesota state medical license.

Responsibilities

• Review Prior Authorizations for treatment based on medical guidelines.
• Provide expert assessments ensuring compliance with regulations.

Skills

Patient Care Experience

Medical Review Expertise

Knowledge of ERISA/DOL Regulations

Board Certification in OB/GYN

Education

MD or DO

Tools

PC

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 HIPPA Regulations patient records cannot leave the US.)
• Covered under MRIoA’s Errors and Omissions policy
• Independent Contractor (1099) opportunity

• 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 designedto bea 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.