Judge healthcare is seeking a Remote Physician Reviewer for one of our biggest clients!
Schedule and Location:
Full-time (40 hours/week).
Contract to permanent!
Work hours: Flexible 8-hour shifts, 5 days/week between 6 AM–7 PM MST (weekends included).
Remote position (work from home).
Compensation:
Competitive hourly rate: $100–$105/hour (based on experience).
About the Role: Judge Healthcare is seeking a board-certified Physician to join our team as a Remote Physician Reviewer.
In this role, you'll utilize your clinical expertise to provide evidence-based reviews and adjudicate requests for commercial and Medicare D medications.
You'll contribute to objective coverage decisions, stay updated on emerging medical technologies, and play a crucial role in shaping informed healthcare solutions.
Key Responsibilities:
Conduct peer reviews to evaluate clinical appropriateness of coverage requests.
Stay informed on the latest treatments, including cutting-edge modalities.
Provide objective, evidence-based insights to support review outcomes.
Qualifications:
Education & Certification:
Current/active Board Certification in Family Medicine or Internal Medicine, accredited by the ABMS or AOA.
Licensure:
An unrestricted, unencumbered, and active medical license for clinical practice.
Experience:
Minimum of 5 years of full-time equivalent hospitalist direct patient care experience.
Previous experience with utilization management or peer review programs is highly preferred.
Technical Skills:
Proficiency in navigating multiple computer applications simultaneously.
Able to work efficiently with a multi-monitor setup.
Reliable, high-speed cable internet connection (satellite internet is not suitable).
Attributes:
Strong understanding of insurance plan criteria for clinical reviews.
Excellent attention to detail, with the ability to sit for 8–10 hours/day and effectively use general office equipment.