Maryland Licensed Physician Reviewer

Job Summary

A company is looking for actively practicing physicians to conduct remote clinical reviews.

Key Responsibilities

• Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care
• Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria
• Support various case types including Utilization review, Appeals and hearings, and Quality of care concerns

Required Qualifications

• Hold an active, unrestricted U.S. license as an MD, DO, or PA
• Board certified in your specialty by an ABMS or AOA-recognized board within the State of Maryland or surrounding states
• Minimum of 5 years of clinical experience in your specialty post residency or fellowship
• Currently practicing and seeing patients an average of at least 20 hours per week over the past 30 days