Physician Reviewer

Job Summary

This role provides medical necessity reviews for pre-service clinical requests on a remote, weekend-only schedule. The position requires an initial 4-week training period, followed by ongoing weekend coverage for at least two weekend days per month. Physicians work 8-hour shifts on Saturdays and/or Sundays, with a productivity expectation of 32 cases per day. This is a fully remote role and can be performed from any U.S. state.

• Conduct pre-service medical necessity reviews based on established company guidelines.
• Evaluate clinical service requests to determine appropriateness and alignment with evidence-based criteria.
• Complete required training over a 4-week period, 3–4 days per week, Monday–Friday, 8 a.m.–5 p.m. CST.
• Provide weekend coverage for at least two weekend days per month (Saturday and/or Sunday).
• Meet productivity expectations of at least 32 cases per weekend day.
• Document determinations accurately within internal systems.
• Collaborate with internal teams as needed to support review processes.
• Maintain compliance with all regulatory, clinical, and organizational standards.

• Board Certification as an M.D. or D.O.
• Unrestricted physician license in any U.S. state or territory
• Basic computer proficiency and comfort working in digital review platforms
• Ability to work independently in a remote environment
• Strong clinical judgment and familiarity with evidence-based practice
• Willingness to commit to initial training and ongoing weekend coverage

• Remote position — no onsite work required
• No direct patient care or diagnostic evaluation involved
• Weekend-only schedule after training