Medical Review Institute of America, LLC
501 - 1000 employees
Founded 1983
🛡️ Insurance
💼 Consulting
⚖️ Legal
Insurance • Consulting • Legal
Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
Gastroenterology Utilization Review – Contract 1099
Job not on LinkedIn
🕒 August 7
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Medical Review Institute of America, LLC
501 - 1000 employees
Founded 1983
🛡️ Insurance
💼 Consulting
⚖️ Legal
Insurance • Consulting • Legal
Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
📋 Description
• Conduct independent Utilization Reviews in Gastroenterology • Participate in peer-to-peer conversations during daytime availability • Review patient records in compliance with HIPAA regulations • Adhere to company policies and procedures regarding confidentiality, privacy, and security of sensitive health information • Complete approximately 1–2 hours of review work per week with no minimum commitment
🎯 Requirements
• Medical Degree (MD or DO) • Current Oregon state medical license • Current Board Certification in Gastroenterology • 5 years of clinical experience, with residency included • Daytime availability for peer-to-peer conversations • Ability to comply with HIPAA regulations and company confidentiality, privacy, and security policies • Patient records must remain within the United States
🏖️ Benefits
• Flexible, fully remote opportunity • Work from home • Covered under MRIoA's Errors and Omissions policy • No minimum commitment • 1–2 hours per week
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