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Medical Review Institute of AmericaMA

Remote - Neurology for Utilization Review - contract 1099

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

Flexible Independent Contractor (1099) Opportunity

Current Unrestricted State License in INDIANA or a current IMLC Compact license is Required.

MRIoA

Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.

THE OPPORTUNITY:

We are seeking Board-Certified physicians in Neurology to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 1-2 hours per week.

  • Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
  • Flexibility – work as little as 1-2 hours per week (with no minimum requirement). Most 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

Requirements

  • Must be an MD or DO
  • Must be Board Certified in Neurology
  • Must have 5 years of patient care experience; residency included
  • Must have an unrestricted state medical license in Indiana or current IMLC license as stated above
  • Must be a US Citizen or hold a Green Card

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 HR@mrioa.com.

Work Environment:

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

About the job

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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 hiring Remote - Neurology for Utilization Review - contract 1099 • Remote (Work from Home) | Himalayas