Telecommute Spine Surgeon: Flexible Case-Based Review

Concentra, Inc.; Newark (NJ); On-site; USD 180,000 - 240,000; Full time

Job summary

Concentra is seeking a Board Certified Spine Surgeon or Board Certified Neurosurgeon for a telecommute medical review contractor role in Newark, NJ. This 1099 independent contractor position offers a flexible schedule within a weekday, business-hour framework.

Responsibilities include reviewing health claims for utilization, quality of care, and compliance with Concentra policies and URAAC guidelines while maintaining required state licensure and credentials.

Qualifications

• Board-certified MD/DO with NJ license.
• Current, unrestricted medical license to practice in the state.
• Active medical practice to perform appeals.

Responsibilities

• Review health claims and provide recommendations on utilization review and medical necessity.
• Coordinate with Concentra Physician Review Medical Director regarding quality of care and licensure.
• Maintain credentialing and state licenses and any required certifications.
• Provide clear, concise rationales and documented criteria for case decisions.

Skills

Board Certified Spine Surgeon

Board Certified Neurosurgeon

Education

MD/DO

Job description

Concentra is seeking a Board Certified Spine Surgeon or Board Certified Neurosurgeon for a telecommute medical review contractor role in Newark, NJ. This 1099 independent contractor position offers a flexible schedule within a weekday, business-hour framework.

Responsibilities include reviewing health claims for utilization, quality of care, and compliance with Concentra policies and URAAC guidelines while maintaining required state licensure and credentials.