Peer Reviewer – Board Certified

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🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $750 - $2k / year

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

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LivantaLLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.

📋 Description

• Conduct independent, remote clinical case reviews within your area of expertise • Evaluate medical necessity, appropriateness of care, quality of care, and standard of care • Review medical records and supporting clinical documentation • Apply established clinical guidelines, evidence-based standards, and professional judgment • Provide clear, well-supported written determinations • Support utilization reviews, appeals, hearings, and quality or standard-of-care concerns • Maintain clinical neutrality, objectivity, and confidentiality throughout the review process • Complete assigned reviews within established turnaround times

🎯 Requirements

• Actively practicing, Board-Certified Physician • Specialty in Family Medicine with pediatric experience, Rheumatology, Pain Management, Psychiatry, or Physical Medicine & Rehabilitation (PM&R) • Active, unrestricted U.S. medical license • Board Certified in the specialty by an ABMS- or AOA-recognized board • Minimum of 5 years of clinical experience within the specialty • Actively practicing and providing direct patient care an average of at least 20 hours per week • Strong written communication and clinical documentation skills • Ability to independently evaluate complex medical records and provide evidence-based conclusions • Ability to meet established case turnaround deadlines

🏖️ Benefits

• 100% remote 1099 independent contractor opportunity • Flexible case assignments based on your specialty and availability • Maintain your existing clinical practice while taking on supplemental review work • Apply your medical expertise beyond direct patient care • Contribute to independent clinical oversight and the quality of care provided to military members and their families • $750–$2,000 per case, based on case type and complexity