Top 75 quality rater Jobs in remote

Part-Time Medical Director (Remote)
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Utilization Review Medical Director
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Medical Director (Remote)
MRIoA —Remote
- $240,000 a year
- Weekends as needed
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- Background check
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- 5 years
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Physician Reviewer (UM Medical Director)
MRIoA —Remote
- $240,000 a year
- Weekends as needed
- Remote
- Background check
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- 5 years
- AD&D insurance
- Paid holidays
Quick Apply

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Part-Time Medical Director (Remote)

MRIoA -
Remote

Quick Apply

Job Details

Part-time
$115 a week

Qualifications

Patient care
Medical License

Full Job Description

Who We Are - Motivated by Purpose. Powered by Clinical Expertise.

Founded in 1983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.

Excellence starts with our people.

POSITION OVERVIEW

Our Part-Time Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review activities, and clinical quality management activities.

Key Responsibilities

Perform utilization management case reviews.
Maintain productivity score per company standard.
Maintain annual quality score per company standard.
Complete annual inter-rater reliability testing.
Train across all queues as requested by MRIoA leadership.
Complete all client specific training as requested by MRIoA leadership.
Maintain up-to-date records of case completion if required
Consistently show willingness to take cases as requested.
Demonstrate respect in interactions across the company.
Consistently submit scheduling requests at least three months in advance. Consistently work scheduled hours.
Provide ideas for promotion and growth of the company as requested (i.e. contribute to the vision of the company).
Respond appropriately and in a timely manner to licensing/CME requests from the Senior Medical Directors, Vice President of Medical Affairs, or Chief Medical Officer and/or administrative team.
Actively participate in the MRIoA evaluation process (both company and individual).
Participate in all company meetings and committees as requested.
Complete other duties as requested or approved by the CEO and/or chief medical officer.
Thorough understanding of the Company’s clients, products, departments, workflows, and applicable regulatory requirements and accreditation standards

Work Schedule

16-28 hour per week requirement
Flexible, prescheduled shifts between 6AM - 7PM MT
Week on / week off scheduling permitted for those working Hospitalist shifts elsewhere
Includes 2-3 weekend rotating shifts per month
Schedules are determined by physician and fixed 2 months in advance

Compensation

Hourly pay rate is $115.00
W2, non-benefited position

Requirements:

Skills and Experience

Minimum of five years’ full-time equivalent experience providing direct clinical care to patients
Minimum of five years’ experience administering utilization management and peer review programs preferred
Credentialed and privileged by the Company's Credentialing Committee
Obtain additional state licensure as required for the position

Education:
MD/DO degree
Current, unrestricted medical license as required for clinical practice in a state of the United States
Board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or other board recognized by URAC preferred

Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).

Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information (California Residents Only):

Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [email protected].

Quick Apply

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quality rater jobs in remote

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