Physician MD/DO - Utilization Review - Remote (1099 Independent Contractor)

Santa Barbara Cottage Hospital; United States; Remote; USD 150,000 - 200,000; Full time

Job summary

A national Independent Review Organization is seeking a licensed Pediatrician to work remotely, reviewing medical claims. The position offers flexibility, requiring as little as 1-2 hours per week, while ensuring compliance with medical guidelines.

Benefits

Flexible schedule

Work remotely from anywhere in the US

Covered under Errors and Omissions policy

Qualifications

• Must be licensed in Oklahoma or Minnesota.
• 5 years of patient care experience required.
• Must be a US Citizen or hold a Green Card.

Responsibilities

• Review Prior Authorizations for treatment.
• Provide expert, unbiased assessments.
• Ensure compliance with ERISA/DOL and state regulations.

Skills

Experience in Patient Care

Education

MD or DO

Board Certified in Pediatrics

Job description

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

THE OPPORTUNITY:

Pediatrician with Oklahoma 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 Pediatrics
• Must have 5 years of patient care experience in Pediatrics
• Must have either a Oklahoma 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.