Remote Physician Reviewer

Job Description

Position Title : Physician Reviewer (Remote – Texas License Required)

Schedule :

• Monday through Friday, 7–8 hours per day (approximately 39 hours per week)
• Flexibility to work weekends (Saturday / Sunday) as needed

Compensation :

Location :

Position Overview

The Physician Reviewer evaluates clinical service requests from members and providers, applying sound clinical judgment and organizational criteria to adjudicate requests. This role supports the organization's mission to ensure appropriate, high-quality care and efficient utilization of medical services.

Key Responsibilities

Qualifications