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Physician Utilization Review Expert; MD

Job in Northern, Floyd County, Kentucky, USA
Listing for: Alpheva
Full Time position
Listed on 2026-10-02
Job specializations:
  • Doctor/Physician
    Medical Doctor, Internal Medicine Physician, Healthcare Consultant, Emergency Medicine Physician
Salary/Wage Range or Industry Benchmark: 180 USD Hourly USD 180.00 HOUR
Job Description & How to Apply Below

Review medical-necessity, level-of-care, utilization-management, and physician-advisor reasoning using de-identified clinical cases.

Evaluate whether AI-generated determinations accurately connect clinical facts, treatment intensity, expected course, and applicable review criteria.

Identify missing documentation, unsafe assumptions, inappropriate status recommendations, and cases that require peer-to-peer or specialist escalation.

Explain corrections using clear physician reasoning while preserving uncertainty and avoiding unsupported clinical conclusions.

Your expertise will help AI systems support fair, consistent, and clinically grounded utilization-review workflows.

Why Apply
  • Expert-level compensation
    Earn $180 - $275/hr for work that values your professional judgment.
  • Flexible remote work
    Contribute asynchronously around your existing professional commitments.
  • Meaningful model impact
    Help advanced AI systems reason more accurately in healthcare operations.
  • Focused projects
    Accept only the opportunities that fit your experience and availability.
Responsibilities
  • Evaluate advanced domain tasks and AI-generated responses for factual accuracy and professional judgment.
  • Apply current standards, methods, and risk considerations from healthcare operations.
  • Document errors, edge cases, and the reasoning behind an ideal response.
  • Collaborate asynchronously with Alpheva's research and evaluation teams.
Required Qualifications
  • MD or DO with active or recently active US medical licensure
  • Board certification and 5+ years of post-residency clinical experience
  • Utilization review, physician-advisor, payer, or hospital case-management experience preferred
Company Description

Alpheva AI builds the expert data, evaluations, and real-world environments that help frontier AI systems become more capable and reliable. We partner with experienced professionals whose judgment can teach models how high-quality work is actually done.

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