Maryland Licensed Physician Reviewer

Job Summary

A company is looking for a Physician-Contract Medical Reviewer (CMR) 1099.

Key Responsibilities

• Write medical eligibility determination recommendations via medical reports following government training and guidelines
• Complete a minimum of 10 edited and finalized reports, applying feedback from initial reviews
• Collaborate with the Team Lead, physicians, and nurse practitioners to enhance medical report writing

Required Qualifications

• Medical degree with board certification or board eligibility in primary care or specialty disciplines
• Current, active, full, and unrestricted physician license from a U.S. state or territory
• Recent clinical experience of more than 5 years; additional claims review experience preferred