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Medical Review Institute of AmericaMA

Remote Physician Advisor - UM Medical Director

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.

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A nationwide clinical review organization is seeking a full-time remote Physician Advisor. The role involves reviewing medical service requests, ensuring coverage determinations align with clinical guidelines, and documenting findings. Ideal candidates will hold a valid medical license and the necessary board certifications, along with 5 years of patient care experience. The position offers a robust benefits package, including health insurance and paid time off, but requires a commitment to scheduled work hours without distractions.
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Full Time

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United States +/- 0 hours

About Medical Review Institute of America

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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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