Top 11 Pediatric reviewer Jobs in Remote

Medical Consultant Reviewer- Pediatrician PRN D.C.
COMAGINE HEALTH —Washington, DC
- $140 - $150 an hour
- Part-time
- Remote
- Medicine
- Travel
- Ability to sit for extended periods
- Paid parental leave
- Health insurance
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Physician Reviewer Multiple Specialties - TEXAS and NEW MEXICO
Federal Hearings And Appeals —Wilkes-Barre, PA
- Contract
- Remote
- Medicine
- Surgery
- Addiction Medicine
Quick Apply
PEER REVIEWER - PEDIATRIC NEUROLOGY - REMOTE
iMPROve Health —Remote
- Contract
- Remote
- Microsoft Word
- 5 years
- Neurology
Quick Apply
Pediatric Endocrinology- Independent Medial Reviewer
Managed Medical Review Organization —Remote
- Choose your own hours
- Medicine
- 5 years
- Continuous improvement
Quick Apply
PEER REVIEWER - PEDIATRIC ORTHOPEDIC SURGEON - REMOTE
iMPROve Health —Remote
- Contract
- Remote
- Microsoft Word
- Surgery
- 5 years
Quick Apply
NSQIP Surgical Clinical Reviewer: Part-Time
Q-Centrix —Remote
- $32 - $37 an hour
- Part-time
- Remote
- Surgery
- Mid-level
- Microsoft Office
- Health insurance
- Flexible schedule
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NSQIP Surgical Clinical Reviewer: Full-Time
Q-Centrix —Remote
- $34 - $38 an hour
- Full-time
- Remote
- Surgery
- Mid-level
- Microsoft Office
- Paid parental leave
- Health savings account
Quick Apply
Pediatric Nephrologist- Independent Medical Reviewer
Managed Medical Review Organization —Remote
- Choose your own hours
- Medicine
- 5 years
- Continuous improvement
Quick Apply
NSQIP-Pediatrics (Remote)
American Data Network —Little Rock, AR
- Full-time
- Remote
- Surgery
- HIPAA
- Mid-level
Quick Apply
Utilization Management Physician Reviewer (TX Licensed)
Clearlink Partners —Remote
- $100 - $150 an hour
- Monday to Friday
- Medicine
- 7 years
- Writing skills
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Associate Director, Medical Affairs (Rare Disease Division, West Coast)
Biocodex —Los Angeles, CA
- $170,000 - $235,000 a year
- Full-time
- Remote
- Medicine
- 5 years
- Driver's License
- Disability insurance
- Health insurance

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pediatric reviewer jobs near remote

Medical Consultant Reviewer- Pediatrician PRN D.C.

COMAGINE HEALTH -
Washington, DC

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Job Details

Part-time | PRN
$140 - $150 an hour

Benefits

Paid parental leave
Health insurance
Dental insurance
Paid time off
Parental leave
Vision insurance
Retirement plan

Qualifications

Working with pediatric populations
Decision making
Pediatrics
Medical License

Full Job Description

Why Comagine Health?

Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years.

We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes.

Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to make a difference from anywhere in the U.S. and enjoy better work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs.

We believe in an environment that allows you to thrive both personally and professionally. That’s why we offer benefits that include:

Medical, dental and vision insurance
Paid time off for vacation, illness and volunteering
Retirement savings plan with employer contribution
Adoption financial assistance
Paid parental leave
And much more!

Medical Consultant Reviewer

Remote
Schedule: Part-Time or Per Diem | Flexible | Non-Patient-Facing : 8-19 hours per week.

Role Purpose

Comagine Health is seeking a pediatrician. Clinical experience or board certification in Developmental and Behavioral Pediatrics preferred, to serve as a Medical Consultant Reviewer on a part-time or per-diem basis. This role performs clinical reviews and appeals across multiple lines of business, including Medicaid, Workers’ Compensation, and private healthcare products, applying evidence-based medicine and sound clinical judgment.

This position is fully remote the District of Columbia. Must be board certified with the District of Columbia.

This position is well suited for physicians looking for flexible, non-clinical work while maintaining an active or reduced clinical practice.

Key Responsibilities

Perform clinical reviews and appeals utilizing pediatrician expertise.
Apply clinical judgment and evidence-based guidelines to render timely, defensible medical necessity determinations.
Participate in physician-to-physician discussions, including those related to potential denials.
Provide clinical subject matter expertise to utilization management staff, case managers, and consultants.
Participate in fair hearings, representing clinical determinations when required.
Take part in Inter-Rater Reliability (IRR) audits to ensure consistency and quality.
Ensure reviews meet standards for clear documentation, regulatory compliance, and sound decision-making.

Qualifications

Education

MD or DO required
Pediatrician. Clinical experience or board certification in Developmental and Behavioral Pediatrics preferred.

Licensure & Certification

Active, current, unrestricted MD or DO license in the District of Columbia or willing to obtain this.
Board Certification

Experience

Minimum of 7 years of clinical practice experience preferred

Preferred

Current or recent clinical practice in Developmental and Behavioral Pediatrics preferred
Prior utilization management, peer review, or appeals experience (helpful but not required)

Equal Opportunity Employer

Comagine Health is an equal opportunity employer and is committed to creating a diverse, equitable, and inclusive workplace.

Physical Requirements & Work Environment

This position is primarily remote and performed in a home-based setting, requiring reliable internet access and a workspace free from significant distractions. The role involves frequent use of computers, phones, and virtual communication tools. Employees must be able to sit for extended periods, communicate effectively.

Some positions may require operating a motor vehicle for business purposes; in such cases, employees must maintain a valid driver’s license and meet the organization’s driving eligibility requirements. Occasional travel may be required for meetings, training, or other work-related events.

Reasonable accommodations will be provided to enable individuals with disabilities to perform essential functions.

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Refine Your Search

pediatric reviewer jobs in remote

Medical Consultant Reviewer- Pediatrician PRN D.C.

Physician Reviewer Multiple Specialties - TEXAS and NEW MEXICO

PEER REVIEWER - PEDIATRIC NEUROLOGY - REMOTE

Pediatric Endocrinology- Independent Medial Reviewer

PEER REVIEWER - PEDIATRIC ORTHOPEDIC SURGEON - REMOTE

NSQIP Surgical Clinical Reviewer: Part-Time

NSQIP Surgical Clinical Reviewer: Full-Time

Pediatric Nephrologist- Independent Medical Reviewer

NSQIP-Pediatrics (Remote)

Utilization Management Physician Reviewer (TX Licensed)

Associate Director, Medical Affairs (Rare Disease Division, West Coast)

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