Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)

BlueSnap, Inc; Salt Lake City (UT); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking qualified medical professionals to review prior authorizations for treatment. 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. You will apply nationally accepted medical guidelines to provide expert assessments while ensuring compliance with relevant regulations. This position is ideal for those looking for a part-time opportunity that fits into their schedule, while making a significant impact in the healthcare sector. Join a dynamic team dedicated to maintaining high standards in medical review.

Benefits

Flexible hours

Work from home

Covered under Errors and Omissions policy

Qualifications

• Must be a licensed medical doctor or doctor of osteopathy.
• US Citizenship or Green Card required.

Responsibilities

• Review medical claims for treatment appropriateness.
• Ensure compliance with ERISA/DOL and state regulations.

Education

MD or DO

Job description

• Remote - Work from home (Mountain)
• Intermediate
• Contractor (1099)

Description

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

THE OPPORTUNITY:

• 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

Requirements

• Must be an MD or DO
• Must be a US Citizen or hold a Green Card

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.