Physician Peer Reviewer

A company is looking for a Physician Peer Reviewer who will evaluate the quality and necessity of medical care for military members and their families.

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

Board certified in your specialty by an ABMS or AOA-recognized board

Minimum of 5 years of clinical experience in your specialty

Currently practicing and seeing patients an average of at least 20 hours per week