Remote Physician Peer Reviewer: Pediatrics & Family Med

Federal Hearings And Appeals; Phoenix (AZ); Remote; USD 150,000 - 230,000; Full time

Job summary

Federal Hearings and Appeals is seeking a Physician Peer Reviewer (Pediatrician or Family Medicine) licensed in Arizona and board-certified to perform independent medical reviews. This is a remote, contract role supporting the Bureau of Hearings and Appeals with medical determinations across pediatric and family medicine cases.

Ideal candidates will have completed an approved residency or fellowship, hold an active US license, and possess ABMS/AOA board certification with substantial

Qualifications

• Residency or fellowship completed; MD/DO licensed in US.
• Current board certification by ABMS or AOA.
• 5+ years post-graduate clinical experience.
• Experience providing direct patient care within the past 3 years if performing external reviews.

Responsibilities

• Review medical case files and make medical determinations (e.g., medical necessity, appropriateness, or administrative issues).
• Review and analyze Federal and State laws, regulations, and policy guides.
• Complete and evaluate the review process within regulatory timeframes.

Skills

Clinical judgment

Direct patient care

Education

Residency or fellowship program

MD/DO license (US)

ABMS/AOA board certification

Job description

Federal Hearings and Appeals is seeking a Physician Peer Reviewer (Pediatrician or Family Medicine) licensed in Arizona and board-certified to perform independent medical reviews. This is a remote, contract role supporting the Bureau of Hearings and Appeals with medical determinations across pediatric and family medicine cases.

Ideal candidates will have completed an approved residency or fellowship, hold an active US license, and possess ABMS/AOA board certification with substantial