Remote Physician Reviewer at The Judge Group Inc. in Philadelphia, Pennsylvania

Job Description:

Location: REMOTE

Salary: $100.00 USD Hourly - $105.00 USD Hourly

Description:
Judge healthcare is seeking a Remote Physician Reviewer for one of our biggest clients!



Schedule and Location:

• Full-time (40 hours/week). Contract to permanent!
  
  
  


• Work hours: Flexible 8-hour shifts, 5 days/week between 6 AM-7 PM MST (weekends included).
  
  


• Remote position (work from home).
  
  

Compensation:

• Competitive hourly rate: $100-$105/hour (based on experience).
  
  

About the Role: Judge Healthcare is seeking a board-certified Physician to join our team as a Remote Physician Reviewer. In this role, you'll utilize your clinical expertise to provide evidence-based reviews and adjudicate requests for commercial and Medicare D medications. You'll contribute to objective coverage decisions, stay updated on emerging medical technologies, and play a crucial role in shaping informed healthcare solutions.



Key Responsibilities:

• Conduct peer reviews to evaluate clinical appropriateness of coverage requests.
  
  


• Stay informed on the latest treatments, including cutting-edge modalities.
  
  


• Provide objective, evidence-based insights to support review outcomes.
  
  

Qualifications:

Education & Certification:

• Current/active Board Certification in Family Medicine or Internal Medicine, accredited by the ABMS or AOA.
  
  

Licensure:

• An unrestricted, unencumbered, and active medical license for clinical practice.
  
  

Experience:

• Minimum of 5 years of full-time equivalent hospitalist direct patient care experience.
  
  


• Previous experience with utilization management or peer review programs is highly preferred.
  
  

Technical Skills:

• Proficiency in navigating multiple computer applications simultaneously.
  
  


• Able to work efficiently with a multi-monitor setup.
  
  


• Reliable, high-speed cable internet connection (satellite internet is not suitable).
  
  

Attributes:

• Strong understanding of insurance plan criteria for clinical reviews.
  
  


• Excellent attention to detail, with the ability to sit for 8-10 hours/day and effectively use general office equipment.
  
  

Interested? If you or someone you know is a great fit for this opportunity, we'd love to hear from you! Please contact Britney Bishop at bbishop@judge.com for more details or to apply.

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Contact: bbishop@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now