Remote Physician Advisor: Payer Peer-to-Peer Review

R1 RCM, Inc.; Tennessee; Hybrid; USD 150,000 - 199,000; Full time

Job summary

R1 RCM Inc. is seeking a Physician Advisor to join our remote US team. You will review payor peer-to-peer cases to determine if authorization requests are supported by documentation and criteria, advising clients accordingly.

You will discuss cases with payor medical directors and provide written analyses across multiple specialties. The role requires active MD/DO licensure and 3+ years of clinical experience, with full-time remote work available and competitive benefits.

Qualifications

• Active, unrestricted MD or DO medical licensure.
• Minimum 3+ years of clinical experience after residency.

Responsibilities

• Review payor peer-to-peer cases to assess authorization status.
• Evaluate if documentation supports admission status, procedure, and setting.
• Advise clients on appropriateness of requests based on available documentation.
• Discuss cases with payor medical directors to reach authorization decisions.
• Provide written case analyses and perform cross-specialty reviews.
• Serve as a clinical resource to staff for documentation and utilization issues.

Skills

MD/DO licensure

Clinical experience

Job description

R1 RCM Inc. is seeking a Physician Advisor to join our remote US team. You will review payor peer-to-peer cases to determine if authorization requests are supported by documentation and criteria, advising clients accordingly.

You will discuss cases with payor medical directors and provide written analyses across multiple specialties. The role requires active MD/DO licensure and 3+ years of clinical experience, with full-time remote work available and competitive benefits.