Pediatric Rheumatology – Independent Medical Reviewer

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Managed Medical Review Organization, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2007

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Managed Medical Review Organization, Inc. is an independent, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer review and disability program management services across the United States. MMRO delivers clinically accurate internal and external reviews using board-certified, actively practicing clinicians and industry best practices, helping managed care organizations, disability carriers, employers, third-party administrators, and government agencies modernize programs and meet regulatory and compliance requirements. The company emphasizes independence, evidence-based outcomes, and secure operations (SOC2 certified) to support complex disability management and healthcare review needs.

📋 Description

• Conduct comprehensive and objective medical chart reviews with honesty and integrity • Produce determinations that are clear, concise, and well-supported by evidence • Follow MMRO’s review templates, ensuring all required elements are complete and accurate • Communicate findings in a professional manner using appropriate language and grammar • Complete assigned reviews within specified deadlines • Respond promptly to communications from MMRO staff • Review and comply with corporate training materials and review standards • Be receptive to constructive feedback from MMRO’s Medical Director, Associate Medical Director, and Clinical Staff • Contribute ideas for process improvement and quality enhancement

🎯 Requirements

• Current, non-restricted license to practice medicine in any U.S. state or territory • Maintained board certification by a board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) • Minimum of five years of full-time equivalent experience providing direct clinical care to patients • Full-time equivalent experience defined as 37.5–40 hours per week • Current clinical experience within the past three years • Must be physically located within the United States or its territories while conducting reviews • Pediatric rheumatology physician qualification • Ability to complete reviews within specified deadlines • Ability to communicate findings professionally using appropriate language and grammar • Ability to respond promptly to MMRO staff communications • Ability to comply with corporate training materials, review templates, and review standards • Must be receptive to constructive feedback

🏖️ Benefits

• Flexible, remote contract opportunity • Set your own schedule and case volume • Collaborate with an experienced and supportive clinical and operations team • Contribute to fair, evidence-based determinations that support quality healthcare decisions • Join MMRO’s network of expert physician reviewers • Make an impact through clinical excellence and integrity