Medical Review Institute of AmericaMA

Psychiatrist - Utilization Review - Remote (1099 Independent Contractor)

MRIoA is a leading provider of innovative clinical solutions that enable Health Plans to optimize care and reduce costs through data-driven decision support and expert reviews.

Description

Medical Review Institute of America is a national Independent Review Organization that facilitates the review of medical claims to determine treatment appropriateness.

THE OPPORTUNITY:

Minnesotastate medical license is required.

  • Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines and provide expert, unbiases assessments while ensuring compliance with ERISA/DOL and state regulations.
  • Flexibility - work as little as 1-2 hours per week (with no minimum requirement.). Moste cases take 30-60 minutes to complete.

ADDITIONAL INFORMATION:

  • Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US.)
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.

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].

Requirements

  • Must have a Medical Degree MD or DO
  • Must have a current Minnesota unencumbered medical license
  • Current Board Certification in Psychiatry
  • Must have 5 years of clinical experience post-residency completion
  • Daytime availability is required for peer-to-peer conversations

About the job

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Posted on

Job type

Contractor

Experience level

Mid-level

Location requirements

Hiring timezones

United States +/- 0 hours

About Medical Review Institute of America

Learn more about Medical Review Institute of America and their company culture.

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The MRIoA Clinical Solutions Platform™ is a comprehensive suite of data-driven solutions that enables the “right care, at the right time, in the right place” by streamlining clinical decisions, creating a clear path for prior authorization, and offering expert second opinions and utilization review services. Experience valuable data insights, cost savings, and faster decision-making with our innovative technology and patient-centered approach: A ClearPath to Clinically Relevant Simplicity.

Our objective evidence-based clinical reviews including ClearPath Prior Authorization™, specialty appeals and many other types of reviews help increase quality of care for members, reduce costs for payers, simplify processes for providers, and manage overutilization. MRIoA utilizes a proprietary UM analytics and benchmarking database to optimize the prior authorization process, create customized benchmarking, and offer therapeutic alternatives for high-cost specialty drugs. Our actionable insights help ensure appropriate care while providing significant ROI for health plans and providers.

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Medical Review Institute of America

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