Flexible Independent Contractor (1099) Opportunity – Work 20 to 40 Hours Per Week! An active, unrestricted Kansas, Missouri, Alabama, Wisconsin, Texas or Nebraska medical license are required.
We are seeking Board Certified Family Medicine or Internal Medicine physicians to review Prior Authorizations for treatments, DME requests, SNF admissions, medications, and more. Our reviewers apply nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
WHO WE ARE
Founded in 1983, the Medical Review Institute of America (MRIoA) is the market leader for technology-enabled utilization management and clinical medical review solutions. We have an outstanding reputation for excellence and achieve continual improvement.
At MRIoA, we believe our reviewers are the key to our success. Here, you are more than just a cog in the machine – you are a valued member of our team.
POSITION OVERVIEW
Our physician reviewers review Prior Authorizations for treatment, DME requests, SNF admissions, Medications, etc. to see if they meet nationally accepted medical guidelines and/or healthcare plan guidelines. They provide their expertise, as an unbiased, external source, and in compliance with ERISA/DOL and/or state laws. This position allows flexibility to work from 20 to 40 hours per week, at your convenience - daytime availability it required.
Is Review Work Right for You?
- Utilize your medical expertise in a remote, at-home setting.
- Reduce or eliminate your direct patient care responsibilities.
- Stay informed on evolving practices in your specialty field.
- Gain valuable insight into the Prior Authorization process.
- Work 20 to 40+ hours per week - based on your availability. Daytime availability is required.
- Ability and willingness to conduct Peer-to-Peer phone calls.
- Note: We seek candidates available 5-7 days per week (flexible daytime hours). Sporadic availability (1-2 days per week) does not align with our needs.
- Enjoy the freedom of an Independent Contractor (1099) role with the flexibility to set your own schedule.
Additional Information:
- Covered under MRIoA’s Errors and Omissions policy (traditional Malpractice Insurance is not applicable).
- Work remotely from anywhere in the U.S. (patient records cannot leave the country).
- Non-employed Independent Contractor (1099) opportunity.
Skills and Experience:
- Strong computer skills.
- Ability and willingness to conduct Peer-to-Peer calls during business hours.
- Must utilize healthcare plan criteria in decision-making.
Education:
- MD or DO degree
- Board Certification in Family Medicine or Internal Medicine REQUIRED
- Active, unrestricted Kansas, Missouri, Alabama, Wisconsin, Texas or Nebraska medical license.
Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
This company is a drug-free workplace. All candidates may be required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [email protected].
What We Do
Medical Review Institute of America (MRIoA) is a leading, tech-enabled utilization management company that delivers high-quality, expert clinical reviews, regulatory guidance, and actionable insights. MRIoA supports health plans, pharmacy benefit managers (PBMs), third-party administrators, and other healthcare organizations to deliver timely, appropriate care, reduce unnecessary costs, navigate complex regulatory and compliance requirements, and improve provider and member satisfaction. Leveraging the largest panel of actively practicing, same-specialty physicians and clinical experts with licenses in all 50 states, MRIoA offers configurable solutions that leverage innovative ways to boost efficiency and improve outcomes. MRIoA has the clinical and regulatory expertise to ensure clients stay compliant and has certifications from HITRUST, NCQA, URAC, and UR licensing in all states where required.
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