Remote Physician Advisor - Payor Peer-to-Peer Reviews

R1 RCM, Inc.; Charlotte (NC); Remote; USD 150,000 - 199,000; Full time

Job summary

R1 RCM Inc. is seeking a Physician Advisor for a remote US-based role. You will review payor peer-to-peer cases, assess denial explanations, and advise on documentation adequacy and appropriate authorization across multiple clinical specialties.

Qualifications include an active MD or DO license and at least 3 years of post-residency clinical experience. The role offers a base salary within the published range and a target annual bonus, plus our comprehensive benefits package.

Qualifications

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

Responsibilities

• Review and respond to the payor and customer in a timely manner.
• Actively engage with payor medical directors to discuss appropriate authorization status as supported by documentation.
• Provide written analysis of the case and perform case reviews across multiple specialties.
• Serve as a clinical resource to medical and case management staff by providing identification, facilitation, and resolution of documentation and utilization issues.

Skills

MD/DO license

Clinical experience

Job description

R1 RCM Inc. is seeking a Physician Advisor for a remote US-based role. You will review payor peer-to-peer cases, assess denial explanations, and advise on documentation adequacy and appropriate authorization across multiple clinical specialties.

Qualifications include an active MD or DO license and at least 3 years of post-residency clinical experience. The role offers a base salary within the published range and a target annual bonus, plus our comprehensive benefits package.