Remote Orthopedic Surgeon - Medical Review & Utilization

Concentra, Inc.; Albuquerque (NM); On-site; USD 120,000 - 180,000; Part time

Job summary

Concentra is seeking a Board Certified Orthopedic Surgeon to join our medical review stream as a telecommute independent contractor. You will evaluate health claims, provide medical interpretation, and determine service appropriateness in line with Concentra policies and URAAC guidelines.

The role requires NM licensure and offers flexible scheduling within business hours, Monday–Friday. Earns on a per-case basis as a 1099 contractor, with credentials and ongoing professional responsibilities.

Qualifications

• Board-certified MD or DO with active practice.
• Current, unrestricted medical license.
• ABMS/ABOS board certification required for MD/DO reviewers.
• Active medical practice required to perform appeals.

Responsibilities

• Review medical files and provide utilization review recommendations.
• Meet with Medical Director to discuss care quality and licensure issues.
• Maintain credentialing and state licenses and required certifications.
• Return cases promptly with clear rationales and criteria.
• Contact providers by phone and discuss disclaimers and appeal process.
• Attend orientation and training.
• Perform other duties including QA issues, regulatory matters, or audits.
• Identify criteria and resources to support sound decision making.
• Provide copies of criteria to requesting providers.

Skills

Computer skills

Telephonic skills

Negotiation

Communication

Managed care

Education

MD/DO board certified

Active medical license

Job description

Concentra is seeking a Board Certified Orthopedic Surgeon to join our medical review stream as a telecommute independent contractor. You will evaluate health claims, provide medical interpretation, and determine service appropriateness in line with Concentra policies and URAAC guidelines.

The role requires NM licensure and offers flexible scheduling within business hours, Monday–Friday. Earns on a per-case basis as a 1099 contractor, with credentials and ongoing professional responsibilities.