Minnesota Licensed Orthopedic Reviewer

Job Summary

A company is looking for an Orthopedic MD or DO for Utilization Review - Remote (1099 Independent Contractor).

Key Responsibilities

• Review prior authorizations for treatment based on medical guidelines and provide unbiased assessments
• Ensure compliance with ERISA/DOL and state regulations
• Work flexibly, completing most cases in 30-60 minutes, with a minimum of 1-2 hours per week

Required Qualifications

• Must be an MD or DO
• Must be Board Certified in Orthopedic Surgery
• Fellowship training in Spine, Shoulder & Elbow, and/or Hip & Knee is required
• Must have 5 years of patient care experience in Orthopedic Surgery
• Must have an unrestricted Minnesota state medical license